Provider Demographics
NPI:1225303548
Name:BAUR, MAUREEN M (MD)
Entity Type:Individual
Prefix:
First Name:MAUREEN
Middle Name:M
Last Name:BAUR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:59 S COUNTY COMMONS WAY FL H32
Mailing Address - Street 2:
Mailing Address - City:S KINGSTOWN
Mailing Address - State:RI
Mailing Address - Zip Code:02879-8270
Mailing Address - Country:US
Mailing Address - Phone:401-783-0084
Mailing Address - Fax:401-782-0005
Practice Address - Street 1:59 S COUNTY COMMONS WAY
Practice Address - Street 2:
Practice Address - City:WAKEFIELD
Practice Address - State:RI
Practice Address - Zip Code:02879-8270
Practice Address - Country:US
Practice Address - Phone:401-783-0084
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-20
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMD17102207R00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine