Provider Demographics
NPI:1265689376
Name:BAUMAN, ALAN J (MD)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:J
Last Name:BAUMAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:6861 SW 18TH ST
Mailing Address - Street 2:SUITE 102
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33433-7099
Mailing Address - Country:US
Mailing Address - Phone:561-394-0024
Mailing Address - Fax:561-394-4522
Practice Address - Street 1:6861 SW 18TH ST
Practice Address - Street 2:SUITE 102
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33433-7099
Practice Address - Country:US
Practice Address - Phone:561-394-0024
Practice Address - Fax:561-394-4522
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-20
Last Update Date:2008-08-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME 75218208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery