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Individual

DR. CAROL G. BAUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
620 COLUMBUS AVE., 2ND FLOOR ENT AND ALLERGY ASSOCIATES LLP,, NEW YORK, NY 10024
(212) 600-9411
Mailing address
560 WHILE PLAINS RD., SUITE 500 ENT AND ALLERGY ASSOCIATES LLP, TARRYTOWN, NY 10591-5112
(914) 333-5801

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
031162
CT
207K00000X
Allergy & Immunology Physician
Primary
158609
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001311620
CT
05
01218139
NY
Enumeration date
06/14/2005
Last updated
12/16/2015
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