Provider Demographics
NPI:1881222693
Name:BAUGUS, ILDIKO (CPM, LM)
Entity Type:Individual
Prefix:
First Name:ILDIKO
Middle Name:
Last Name:BAUGUS
Suffix:
Gender:F
Credentials:CPM, LM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:928 MONTEBELLO CIR
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23322-7265
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1025 EXECUTIVE BLVD STE 111
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-3650
Practice Address - Country:US
Practice Address - Phone:757-884-3378
Practice Address - Fax:757-884-3378
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-28
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0129000153176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Single Specialty