Individual
CARL IRA BAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
21 TAMAL VISTA BLVD, SUITE 240, CORTE MADERA, CA 94925-1130
(415) 924-2205
Mailing address
21 TAMAL VISTA BLVD, SUITE 240, CORTE MADERA, CA 94925-1130
(415) 924-2205
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
G34273
CA
Other
Enumeration date
11/27/2007
Last updated
11/28/2007
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