Individual
DR. BARRIE BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
700 BLOOMFIELD AVE # 550, BLOOMFIELD, CT 06002-2497
(215) 669-2106
Mailing address
700 BLOOMFIELD AVE # 550, BLOOMFIELD, CT 06002-2497
(215) 669-2106
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD052497L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18679
STATE MEDICAL LICENSE
NV
01
—
25MA10590100
STATE MEDICAL LICENSE
NJ
01
—
261558
BOARD OF REGISTRATION OF MASSACHUSETTS
MA
01
—
297357
STATE MEDICAL LICENSE
NY
01
—
MD052497L
STATE LICENSE
PA
01
—
MD15226
STATE LICENSE
RI
Enumeration date
01/01/2009
Last updated
05/26/2020
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