Provider Demographics
NPI:1265513444
Name:LYNN A. BADEN M.D., PC
Entity type:Organization
Organization Name:LYNN A. BADEN M.D., PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PROPRIETOR
Authorized Official - Prefix:DR
Authorized Official - First Name:LYNN
Authorized Official - Middle Name:ALLISON
Authorized Official - Last Name:BADEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:617-558-0077
Mailing Address - Street 1:1400 CENTRE ST
Mailing Address - Street 2:#208
Mailing Address - City:NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02459-2454
Mailing Address - Country:US
Mailing Address - Phone:617-558-0077
Mailing Address - Fax:617-558-1776
Practice Address - Street 1:1400 CENTRE STREET
Practice Address - Street 2:208
Practice Address - City:NEWTON
Practice Address - State:MA
Practice Address - Zip Code:02459
Practice Address - Country:US
Practice Address - Phone:617-558-0077
Practice Address - Fax:617-558-1776
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty