Individual
ELIZABETH BAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1320 MERCY DR NW, CANTON, OH 44708-2614
(330) 489-1066
(330) 430-6957
Mailing address
1320 MERCY DR NW, CANTON, OH 44708-2614
(330) 489-1066
(330) 430-6957
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35052446B
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1376559799
GROUP NPI
OH
Enumeration date
11/14/2005
Last updated
11/15/2007
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