Individual
THOMAS WILLIAM BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LGPC
Contact information
Practice address
122 WEBER ST, BALTIMORE, MD 21230-4106
(410) 752-5525
(410) 752-5531
Mailing address
122 WEBER ST, BALTIMORE, MD 21230-4106
(410) 752-5525
(410) 752-5531
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
LPG225
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
212150600
—
MD
01
—
LPG225
LICENSE
MD
Enumeration date
09/20/2006
Last updated
09/04/2008
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