Organization
TERRANCE L BAKER MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRANCE LEE BAKER MD (OWNER)
(410) 592-9889
Entity
Organization
Contact information
Practice address
5601 LOCH RAVEN BLVD, BALTIMORE, MD 21239-2905
(410) 592-9889
(410) 592-8464
Mailing address
7027 MOUNT VISTA RD, KINGSVILLE, MD 21087-1331
(410) 592-9889
(410) 592-8464
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
313M00000X
Nursing Facility/Intermediate Care Facility
D0058570
MD
Other
Enumeration date
01/23/2007
Last updated
04/18/2023
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