Individual
CARL RAPHAEL BAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20 YORK ST, YALE-NEW HAVEN CHILDREN'S HOSP-EMERGENCY DEPT, NEW HAVEN, CT 06510-3220
(203) 688-7970
(203) 688-4809
Mailing address
PO BOX 9805, 300 GEORGE STREET 6TH FLOOR, NEW HAVEN, CT 06536-0805
(203) 785-7998
Taxonomy
Speciality
Code
Description
License number
State
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
038684
CT
2080T0002X
Pediatric Medical Toxicology Physician
03684
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001386847
—
CT
Enumeration date
11/14/2005
Last updated
05/09/2008
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