Individual
CHARLES ALEXANDER BAILLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-9369
Mailing address
630 W 168TH ST # 4, NEW YORK, NY 10032-3725
(212) 305-9369
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
287373
NY
207R00000X
Internal Medicine Physician
MD431913
PA
208M00000X
Hospitalist Physician
Primary
287373
NY
Other
Enumeration date
12/18/2006
Last updated
07/21/2022
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