Individual
JANE S. BAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 LYONS ST, DEDHAM, MA 02026-5599
(781) 493-3530
(781) 493-3806
Mailing address
1 LYONS ST, DEDHAM, MA 02026-5599
(781) 493-3530
(781) 493-3806
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
210721
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0032966
NEIGHBORHOOD HEALTH PLAN
MA
05
—
2093961
—
MA
01
—
3447341
CIGNA
MA
01
—
468956
TUFTS HEALTH PLAN
MA
01
—
AA15065
HARVARD PILGRIM
MA
01
—
J27418
BLUE CROSS
MA
Enumeration date
06/04/2006
Last updated
11/17/2020
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