Provider Demographics
NPI:1730281346
Name:BAUMAN, ANNE GNASSI (MD)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:GNASSI
Last Name:BAUMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2005 BAY ST
Mailing Address - Street 2:SUITE 206
Mailing Address - City:TAUNTON
Mailing Address - State:MA
Mailing Address - Zip Code:02780-1085
Mailing Address - Country:US
Mailing Address - Phone:508-822-2266
Mailing Address - Fax:508-823-5689
Practice Address - Street 1:2005 BAY ST
Practice Address - Street 2:SUITE 206
Practice Address - City:TAUNTON
Practice Address - State:MA
Practice Address - Zip Code:02780-1085
Practice Address - Country:US
Practice Address - Phone:508-822-2266
Practice Address - Fax:508-823-5689
Is Sole Proprietor?:No
Enumeration Date:2006-09-03
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA214736207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA404374OtherTUFTS
MA0196797Medicaid
1102545343OtherRR MEDICARE
MAJ25075OtherMA BCBS
MA0196797Medicaid
MA404374OtherTUFTS