Individual
JAMES J BAEK
Active
Individual
JAMES J BAEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
18837
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000023074
BLUE CROSS
WV
05
—
0121594000
—
WV
Enumeration date
06/01/2005
Last updated
03/17/2018
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