Individual
KIMBERLY PICCIONE BAYDARIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8507 LIBERTY RD, RANDALLSTOWN, MD 21133-4819
(410) 496-6441
(410) 496-6448
Mailing address
8507 LIBERTY RD, RANDALLSTOWN, MD 21133-4819
(410) 496-6441
(410) 496-6448
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D0061684
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
132190100
—
MD
05
—
406052100
—
MD
Enumeration date
07/15/2006
Last updated
05/21/2008
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