Individual
JOEL ASHER BAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11203 QUEENS BLVD, SUITE 204, FOREST HILLS, NY 11375-7473
(718) 897-0516
(718) 897-0590
Mailing address
11203 QUEENS BLVD, SUITE 204, FOREST HILLS, NY 11375-7473
(718) 897-0516
(718) 897-0590
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
177455
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01391868
—
NY
Enumeration date
07/18/2006
Last updated
08/17/2010
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