Individual
MICHAEL JEFFREY BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
950 CAMPBELL AVE, WEST HAVEN, CT 06516-2770
(203) 932-5711
Mailing address
140 PEARL ST, MIDDLETOWN, CT 06457-2840
(508) 479-0684
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT.0011295
CT
Other
Enumeration date
09/22/2009
Last updated
09/22/2009
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