Provider Demographics
NPI:1437175486
Name:BAUM, DAVID H (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:H
Last Name:BAUM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:333 POST ROAD WEST
Mailing Address - Street 2:LOWER LEVEL
Mailing Address - City:WESTPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06880
Mailing Address - Country:US
Mailing Address - Phone:203-571-3000
Mailing Address - Fax:203-349-8179
Practice Address - Street 1:333 POST ROAD WEST
Practice Address - Street 2:LOWER LEVEL
Practice Address - City:WESTPORT
Practice Address - State:CT
Practice Address - Zip Code:06880
Practice Address - Country:US
Practice Address - Phone:203-571-3000
Practice Address - Fax:203-349-8179
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2022-05-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT044303207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILA23040Medicare ID - Type Unspecified
I46295Medicare UPIN