Individual
DANIELLE Y BAEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
22 S GREENE ST, MEDICINE, N3E09, BALTIMORE, MD 21201-1544
(410) 328-6110
Mailing address
PO BOX 64442, BALTIMORE, MD 21264-4442
(410) 328-7567
(410) 328-0267
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D74727
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
060362700
—
MD
01
—
S062-0515
CAREFIRST BC/BS
MD
Enumeration date
05/20/2009
Last updated
05/05/2016
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