Organization
BAKER PEDIATRICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHRYN A. BAKER DO (DO/OWNER)
(203) 371-8790
Entity
Organization
Contact information
Practice address
4141 MADISON AVE, TRUMBULL, CT 06611-3506
(203) 371-8790
(203) 373-0463
Mailing address
4141 MADISON AVE, TRUMBULL, CT 06611-3506
(203) 371-8790
(203) 373-0463
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164864005
—
CT
05
—
1447224241
—
CT
05
—
1821357039
—
CT
Enumeration date
04/24/2024
Last updated
07/09/2024
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