Individual
DR. GLEN MARTIN BAQUET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AU.D.
Contact information
Practice address
10 N. GREENE ST., BALTIMORE, MD 21201
(401) 605-7000
(410) 605-7702
Mailing address
8830 DOLLYHYDE RD, UNION BRIDGE, MD 21791-7624
(301) 898-3395
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
00917
MD
Other
Enumeration date
06/28/2006
Last updated
07/08/2007
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