Individual
MRS. SARAH BAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
160 ROBBINS ST, WATERBURY, CT 06708-2652
(203) 755-2999
(203) 755-6782
Mailing address
160 ROBBINS ST, WATERBURY, CT 06708-2652
(203) 755-2999
(203) 755-6782
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
033108
CT
2080A0000X
Pediatric Adolescent Medicine Physician
033108
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001331082
—
CT
01
—
033108
CONNECTICARE
—
01
—
83196
AETNA
—
01
—
OQ2734
HEALTH NET
—
01
—
P3582810
OXFORD
—
Enumeration date
10/30/2006
Last updated
11/07/2012
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