Individual
CAROL A BAASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3100 SCHOOLHOUSE RD, MIDDLETOWN, PA 17057-3548
(800) 243-1455
Mailing address
PO BOX 858, MC A410, HERSHEY, PA 17033-0858
(800) 243-1455
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD040188L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011160830001
—
PA
Enumeration date
04/17/2006
Last updated
08/09/2012
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