Provider Demographics
NPI:1568743276
Name:BAUMER, ALISON RAE (MS)
Entity Type:Individual
Prefix:
First Name:ALISON
Middle Name:RAE
Last Name:BAUMER
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:90 MARLBOROUGH ST
Mailing Address - Street 2:UNIT 1
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02116-2022
Mailing Address - Country:US
Mailing Address - Phone:765-427-4120
Mailing Address - Fax:
Practice Address - Street 1:90 MARLBOROUGH ST
Practice Address - Street 2:UNIT 1
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02116-2022
Practice Address - Country:US
Practice Address - Phone:765-427-4120
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-08
Last Update Date:2011-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program