Individual
DR. JOSE R BAEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
25 MARSTON ST, SUITE 105, LAWRENCE, MA 01841-2310
(978) 258-1057
(978) 258-1520
Mailing address
865 GREAT POND RD, NORTH ANDOVER, MA 01845-2035
(978) 387-1375
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
216181
MA
208M00000X
Hospitalist Physician
216181
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2064120
—
MA
Enumeration date
04/17/2006
Last updated
09/08/2014
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