Individual
DR. KATHRYN A BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
4141 MADISON AVE, TRUMBULL, CT 06611-3506
(203) 371-8790
(203) 373-0463
Mailing address
4141 MADISON AVE, TRUMBULL, CT 06611-3506
(203) 371-8790
(203) 373-0463
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
039274
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040039274CT01
BLUE CROSS OF CT
CT
05
—
1447224241
—
CT
01
—
2492148
UNITEDHEALTHCARE
CT
01
—
6253862
CIGNA
CT
01
—
713945
CONNECTICARE
CT
01
—
7505300
AETNA HEALTH PLANS
CT
01
—
P2654371
OXFORD PROVIDER #
CA
Enumeration date
02/16/2006
Last updated
04/25/2024
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