Individual
KENNETH A BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1400 VA OF FOREIGN PKWY, VA MEDICAL CENTER, WEST ROXBURY, MA 02132
(617) 667-2174
Mailing address
1400 VFW PKWY, VA MEDICAL CENTER, WEST ROXBURY, MA 02132-4927
(617) 667-2174
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
42764
MA
Other
Enumeration date
06/02/2006
Last updated
10/15/2012
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