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Individual

MICHAEL R BAUMGAERTNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
800 HOWARD AVE, YALE PHYSICIANS BLDG-1ST FLOOR, NEW HAVEN, CT 06519-1369
(203) 737-5656
(203) 785-7132
Mailing address
PO BOX 9805, 300 GEORGE ST 6TH FLOOR, NEW HAVEN, CT 06536-0805
(203) 785-7998

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
029019
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001290197
CT
Enumeration date
12/02/2005
Last updated
05/09/2008
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