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Individual

DR. MICHAEL M BAKERMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D., F.A.C.C.

Contact information

Practice address
736 CAMBRIDGE ST, ADMINISTRATION, BRIGHTON, MA 02135-2907
(617) 789-3456
Mailing address
117 MANOMET AVE, HULL, MA 02045-2327
(781) 608-6534

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
48876
MA
207RC0000X
Cardiovascular Disease Physician
48876
MA
208M00000X
Hospitalist Physician
48876
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3014002
MA
Enumeration date
12/22/2006
Last updated
09/06/2017
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