Individual
RICHARD BARON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 HOOPER RD, ENDWELL, NY 13760-1560
(607) 757-0444
(607) 748-8984
Mailing address
346 GRAND AVE, JOHNSON CITY, NY 13790-2558
(607) 729-8156
(607) 729-3982
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
136006
NY
207RP1001X
Pulmonary Disease Physician
Primary
136006
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00700147
—
NY
Enumeration date
09/29/2005
Last updated
05/16/2012
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