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Individual

MR. BARRY O BAKER II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
101 COLONIAL WAY, SUITE A, RISING SUN, MD 21911-2283
(410) 658-6696
(410) 658-4548
Mailing address
101 COLONIAL WAY, SUITE A, RISING SUN, MD 21911-2283
(410) 658-6696
(410) 658-4548

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
C0002344
MD

Other

Enumeration date
03/29/2006
Last updated
11/16/2007
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