Individual
DR. RUSSELL ANDREW BAUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
LAHEY CLINIC INC., 41 MALL ROAD, BURLINGTON, MA 01805
(781) 744-8000
Mailing address
LAHEY CLINIC INC, 41 MALL ROAD, BURLINGTON, MA 01805
(781) 744-8085
(781) 744-5433
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
010246951
VA
207RH0003X
Hematology & Oncology Physician
0101246951
VA
207RX0202X
Medical Oncology Physician
Primary
279099
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/10/2008
Last updated
07/15/2019
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