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Individual

DR. STUART B BAUER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
300 LONGWOOD AVE, CHILDRENS UROLOGICAL FOUNDATION, BOSTON, MA 02115-5724
(617) 355-8338
(617) 730-0474
Mailing address
300 LONGWOOD AVE, CHILDRENS UROLOGICAL FOUNDATION, BOSTON, MA 02115-5724
(617) 355-8338
(617) 730-0474

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
36354
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000009227
BMC
01
0012835
NHP
01
1006644
WVT
01
101565278
CHA
01
11273
HNE
01
1900234
UHP
05
2035332
MA
01
30011521
WNH
01
36173
FCHP
01
702871
TUFTS
01
8372441001
CIG2
01
994719
NETHE
01
AA8296
HPHC
01
P2697366
OXFORD
01
Z11048
HEALT
Enumeration date
12/28/2005
Last updated
09/23/2011
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