Provider Demographics
NPI:1578512075
Name:BARON, FRANK J (MD)
Entity Type:Individual
Prefix:MR
First Name:FRANK
Middle Name:J
Last Name:BARON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:22833 BOTHELL EVERETT HWY
Mailing Address - Street 2:SUITE 201
Mailing Address - City:BOTHELL
Mailing Address - State:WA
Mailing Address - Zip Code:98021-9385
Mailing Address - Country:US
Mailing Address - Phone:425-486-2340
Mailing Address - Fax:425-483-8135
Practice Address - Street 1:8435 SE 68TH ST
Practice Address - Street 2:SUITE 118
Practice Address - City:MERCER ISLAND
Practice Address - State:WA
Practice Address - Zip Code:98040-5249
Practice Address - Country:US
Practice Address - Phone:206-232-7546
Practice Address - Fax:206-275-0805
Is Sole Proprietor?:No
Enumeration Date:2006-05-10
Last Update Date:2010-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00015304207N00000X, 207ND0900X, 207NS0135X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No207ND0900XAllopathic & Osteopathic PhysiciansDermatologyDermatopathology
No207NS0135XAllopathic & Osteopathic PhysiciansDermatologyProcedural Dermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1043561Medicaid
WAAB19749Medicare ID - Type Unspecified
WA1043561Medicaid