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Individual

DR. JUTHIKA BHAUMIK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.,M.P.H

Contact information

Practice address
821 N EUTAW ST, 210, BALTIMORE, MD 21201-4648
(410) 383-2250
(410) 383-8378
Mailing address
821 N EUTAW ST, 210, BALTIMORE, MD 21201-4648
(410) 383-2250
(410) 383-8378

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D0018274
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1200233
MD
05
139771100
MD
01
1585
BLUE CROSS/BLUE SHIELD
MD
01
4124464
AETNA
MD
01
82621
M.D.I.P.A
MD
01
EO66 0001
B.C/B.S-FEDERAL
MD
Enumeration date
11/04/2006
Last updated
07/08/2007
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