Individual
DR. COREY BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
55 FRUIT ST STE 6B, BOSTON, MA 02114-2621
(617) 726-8705
Mailing address
55 FRUIT ST # 6B, BOSTON, MA 02114-2621
(617) 726-8705
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
266637
MA
208000000X
Pediatrics Physician
MT204209
PA
2080P0206X
Pediatric Gastroenterology Physician
266637
MA
2080P0206X
Pediatric Gastroenterology Physician
Primary
62556
CT
Other
Enumeration date
05/20/2013
Last updated
04/25/2022
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