Individual
REBECCA A. BAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1301 CENTRAL DR, SANFORD, NC 27330-4159
(919) 718-9512
(919) 718-9516
Mailing address
2000 PERIMETER PARK DR STE 200, MORRISVILLE, NC 27560-8442
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
2020-03014
NC
2080P0006X
Developmental - Behavioral Pediatrics Physician
35-087613
OH
2080P0006X
Developmental - Behavioral Pediatrics Physician
35087613
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2153600
—
OH
Enumeration date
04/13/2006
Last updated
11/09/2021
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