Individual
JORDAN BAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
222 STATION PLZ N STE 618, MINEOLA, NY 11501-3893
(317) 523-0841
Mailing address
222 STATION PLZ N STE 618, MINEOLA, NY 11501-3893
(317) 523-0841
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
287134
NY
Other
Enumeration date
04/18/2013
Last updated
06/21/2019
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