Individual
KATHERINE BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3645 N FRONT ST, PHILADELPHIA, PA 19140-4642
(215) 427-4815
(215) 427-4273
Mailing address
3645 N FRONT ST, PHILADELPHIA, PA 19140-4642
(215) 427-4815
(215) 427-4273
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
291442
NY
208000000X
Pediatrics Physician
53777
WI
208000000X
Pediatrics Physician
MD2012-0620
NM
208000000X
Pediatrics Physician
Primary
MD453500
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1029705340001
—
PA
Enumeration date
07/18/2008
Last updated
06/29/2023
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