Individual
DR. CHRISTINA GAIL DORELL BAAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(774) 442-2853
(774) 443-7042
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
(508) 334-1977
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
256749
MA
2083P0901X
Public Health & General Preventive Medicine Physician
256749
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110102302A
—
MA
Enumeration date
11/10/2011
Last updated
11/04/2020
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