Individual
MEREDITH BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
256066
MA
2086S0120X
Pediatric Surgery Physician
Primary
MD25775
ME
Other
Enumeration date
03/28/2013
Last updated
08/26/2022
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