Individual
MARK R BAUER
Active
Individual
MARK R BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
42997
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042997
TUFTS
MA
05
—
3015262
—
MA
01
—
J05941
BLUE CROSS
MA
01
—
PM569
HARVARD PILGRIM
MA
Enumeration date
01/30/2006
Last updated
06/27/2011
Update your record
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