Individual
STEPHEN BRADLEY BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3800 RESERVOIR RD NW, WASHINGTON, DC 20007-2113
(202) 444-8751
Mailing address
PO BOX 418283, BOSTON, MA 02241-8283
(703) 558-1544
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
33081
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
240007299
MEDICARE RAIL ROAD
DC
Enumeration date
07/13/2005
Last updated
02/24/2012
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