Individual
DAVID RICHARD BAKER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3401 CIVIC CENTER BLVD, DIVISION OF PEDIATRIC CRITICAL CARE - ULTRASOUND, PHILADELPHIA, PA 19104-4319
(180) 087-9246
Mailing address
111 E 210TH ST, BRONX, NY 10467-2401
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
25MA12539500
NJ
2080P0203X
Pediatric Critical Care Medicine Physician
303260-01
NY
2080P0203X
Pediatric Critical Care Medicine Physician
MD480759
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2017
Last updated
02/21/2025
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