Individual
DR. RAYMOND MICHAEL BAULE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 MONTAUK HWY STE K, WEST ISLIP, NY 11795-4419
(252) 903-8657
Mailing address
PO BOX 112, SAINT JAMES, NY 11780-0112
(252) 903-8657
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
200400101
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89136TJ
—
NC
Enumeration date
05/17/2007
Last updated
03/09/2021
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