Provider Demographics
NPI:1538670153
Name:BAKER FAMILY MEDICAL ASSOCIATES
Entity Type:Organization
Organization Name:BAKER FAMILY MEDICAL ASSOCIATES
Other - Org Name:BAKER FAMILY MEDICAL ASSOCIATES LLC
Other - Org Type:Other Name
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:TERESA
Authorized Official - Last Name:BAKER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:215-559-9166
Mailing Address - Street 1:3237 BRISTOL RD STE 203
Mailing Address - Street 2:
Mailing Address - City:BENSALEM
Mailing Address - State:PA
Mailing Address - Zip Code:19020-2172
Mailing Address - Country:US
Mailing Address - Phone:215-559-9166
Mailing Address - Fax:
Practice Address - Street 1:3237 BRISTOL RD STE 203
Practice Address - Street 2:
Practice Address - City:BENSALEM
Practice Address - State:PA
Practice Address - Zip Code:19020-2172
Practice Address - Country:US
Practice Address - Phone:215-559-9166
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-23
Last Update Date:2024-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty