Provider Demographics
NPI:1891759106
Name:BAUMAL, CAROLINE ROBYN (MD)
Entity Type:Individual
Prefix:MISS
First Name:CAROLINE
Middle Name:ROBYN
Last Name:BAUMAL
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:529 COLUMBUS AVE
Mailing Address - Street 2:# 10
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02118-3412
Mailing Address - Country:US
Mailing Address - Phone:617-256-7684
Mailing Address - Fax:
Practice Address - Street 1:800 WASHINGTON ST
Practice Address - Street 2:# 450
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02111-1552
Practice Address - Country:US
Practice Address - Phone:617-636-1486
Practice Address - Fax:617-636-4866
Is Sole Proprietor?:No
Enumeration Date:2006-04-13
Last Update Date:2017-06-27
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Provider Licenses
StateLicense IDTaxonomies
MA81201174400000X, 207WX0108X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0108XAllopathic & Osteopathic PhysiciansOphthalmologyUveitis and Ocular Inflammatory Disease
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA3144992Medicaid
MAG08019Medicare UPIN
MADX8310Medicare PIN