Individual
ANDREA CHAO BAFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
22 S GREENE ST, S4B20, BALTIMORE, MD 21201-1544
(410) 328-6187
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
225389
MA
208600000X
Surgery Physician
Primary
D70553
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
034154100
—
MD
01
—
D0070553
STATE LICENSE
MD
Enumeration date
10/17/2006
Last updated
04/27/2023
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