Provider Demographics
NPI:1982686622
Name:BAEHRING, JOACHIM M (MD)
Entity Type:Individual
Prefix:
First Name:JOACHIM
Middle Name:M
Last Name:BAEHRING
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Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 9805
Mailing Address - Street 2:300 GEORGE ST 6TH FLOOR
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06536-0805
Mailing Address - Country:US
Mailing Address - Phone:203-785-7998
Mailing Address - Fax:203-785-6414
Practice Address - Street 1:800 HOWARD AVE
Practice Address - Street 2:YALE PHYSICIANS BUILDING
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06519
Practice Address - Country:US
Practice Address - Phone:203-785-7284
Practice Address - Fax:203-737-2591
Is Sole Proprietor?:No
Enumeration Date:2005-11-17
Last Update Date:2007-12-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CT0405142084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
H68980Medicare UPIN