Individual
EDWARD V. BAUMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
485 ARSENAL ST, WATERTOWN, MA 02472-5091
(617) 972-5540
Mailing address
147 MILK ST, PROVIDER ENROLLMENT 9TH FLOOR, BOSTON, MA 02109-4806
(617) 559-8051
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4799
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0014266
NEIGHBORHOOD HEALTH PLAN
MA
01
—
669499
TUFTS HEALTH PLAN
MA
01
—
W05832
BLUE CROSS
MA
Enumeration date
05/16/2006
Last updated
04/07/2009
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