Individual
AMY WISTERIA BAUGHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
940 BELMONT STREET, VETERANS AFFAIRS BOSTON HEALTHCARE SYSTEM, BROCKTON, MA 02301
(774) 826-1860
Mailing address
940 BELMONT STREET, GERIATRICS & EXTENDED CARE, BROCKTON, MA 02301
(774) 826-1860
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
252442
MA
208M00000X
Hospitalist Physician
252442
MA
Other
Enumeration date
04/10/2009
Last updated
09/18/2016
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