Provider Demographics
NPI:1225336134
Name:BAUMBUSCH BROOKS, MARGARET ANN (MD, FACOG)
Entity Type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:ANN
Last Name:BAUMBUSCH BROOKS
Suffix:
Gender:F
Credentials:MD, FACOG
Other - Prefix:DR
Other - First Name:MARGARET
Other - Middle Name:ANN
Other - Last Name:BAUMBUSCH BROOKS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD, FACOG
Mailing Address - Street 1:40 TEMPLE ST.
Mailing Address - Street 2:SUITE 7A
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06510
Mailing Address - Country:US
Mailing Address - Phone:203-789-2011
Mailing Address - Fax:203-865-1708
Practice Address - Street 1:40 TEMPLE ST.
Practice Address - Street 2:SUITE 7A
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06510
Practice Address - Country:US
Practice Address - Phone:203-789-2011
Practice Address - Fax:203-865-1708
Is Sole Proprietor?:No
Enumeration Date:2011-03-02
Last Update Date:2021-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA113503207V00000X
CT51924207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology