Individual
WILLIAM E BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 COLCHESTER AVE, BURLINGTON, VT 05401-1473
(802) 847-0000
Mailing address
111 COLCHESTER AVE # WP1-106, BURLINGTON, VT 05401-1473
(802) 847-3982
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
042-0015940
VT
207P00000X
Emergency Medicine Physician
Primary
152223
MA
207P00000X
Emergency Medicine Physician
195212
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01596827
—
NY
05
—
110058663A
—
MA
01
—
773300
TUFTS
MA
01
—
J17702
BCBS
MA
Enumeration date
02/06/2006
Last updated
10/23/2022
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