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Organization

BAUM PSYCHIATRIC, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STEPHAN FREDRICK BAUM M.D. (OWNER/PHYSICIAN)
(919) 732-2897
Entity
Organization

Contact information

Practice address
241 SAINT MARYS RD, HILLSBOROUGH, NC 27278-2521
(919) 732-2897
(919) 241-3135
Mailing address
602 ORCHARD PL, HILLSBOROUGH, NC 27278-8495
(919) 732-2897

Taxonomy

Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1205N
BCBS OF NC
NC
05
891205N
NC
Enumeration date
07/08/2008
Last updated
07/08/2008
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