Provider Demographics
NPI:1346220381
Name:BAUMHAUER, GEORGE A
Entity Type:Individual
Prefix:MR
First Name:GEORGE
Middle Name:A
Last Name:BAUMHAUER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1950 BUTLER PIKE
Mailing Address - Street 2:#201
Mailing Address - City:CONSHOHOCKEN
Mailing Address - State:PA
Mailing Address - Zip Code:19428-1202
Mailing Address - Country:US
Mailing Address - Phone:610-828-3041
Mailing Address - Fax:610-828-3042
Practice Address - Street 1:1950 BUTLER PIKE
Practice Address - Street 2:#201
Practice Address - City:CONSHOHOCKEN
Practice Address - State:PA
Practice Address - Zip Code:19428-1202
Practice Address - Country:US
Practice Address - Phone:610-828-3041
Practice Address - Fax:610-828-3042
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor