Individual
DR. RICHARD T BAUER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
180 OLD LOUDON RD, LATHAM, NY 12110-3905
(518) 608-4587
(518) 608-4768
Mailing address
180 OLD LOUDON RD, LATHAM, NY 12110-3905
(518) 608-4587
(518) 608-4768
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
006435
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3773920
—
NY
Enumeration date
08/19/2011
Last updated
08/17/2023
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