Provider Demographics
NPI:1558739441
Name:BAUMGARTEN, JOSEPHINE M (PA-C)
Entity Type:Individual
Prefix:
First Name:JOSEPHINE
Middle Name:M
Last Name:BAUMGARTEN
Suffix:
Gender:F
Credentials:PA-C
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Other - First Name:
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Mailing Address - Street 1:101 MEMORIAL HOSPITAL DR
Mailing Address - Street 2:STE 200
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36608-1787
Mailing Address - Country:US
Mailing Address - Phone:251-414-5900
Mailing Address - Fax:251-281-1163
Practice Address - Street 1:101 MEMORIAL HOSPITAL DR
Practice Address - Street 2:SUITE 200
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36608-1786
Practice Address - Country:US
Practice Address - Phone:251-414-5900
Practice Address - Fax:251-281-1163
Is Sole Proprietor?:No
Enumeration Date:2015-09-09
Last Update Date:2022-04-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AL1804363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant