Provider Demographics
NPI:1699832501
Name:BAUER, CATHERINE M (MD)
Entity Type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:M
Last Name:BAUER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 WINTHROP RD
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02421-5526
Mailing Address - Country:US
Mailing Address - Phone:781-246-1711
Mailing Address - Fax:781-862-1315
Practice Address - Street 1:44 WINTHROP RD
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:MA
Practice Address - Zip Code:02421-5526
Practice Address - Country:US
Practice Address - Phone:781-246-1711
Practice Address - Fax:781-862-1315
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-02
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA529052084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA714509OtherTUFTS PROVIDER NUMBER
MA714509OtherTUFTS PROVIDER NUMBER