Individual
DR. JON M BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 N MAIN ST, WARSAW, NY 14569-1025
(585) 786-8940
Mailing address
PO BOX 4860, MURRELLS INLET, SC 29576-2698
(843) 651-2624
(843) 491-4023
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
163390
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000526291003
BC/BS
NY
05
—
02120836
—
NY
01
—
1711149
IH
NY
Enumeration date
11/16/2005
Last updated
06/08/2016
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