Provider Demographics
NPI:1336527712
Name:BAUER, MONICA KATHLEEN (MD)
Entity Type:Individual
Prefix:DR
First Name:MONICA
Middle Name:KATHLEEN
Last Name:BAUER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:10710 CHARTER DR STE 200
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21044-3259
Mailing Address - Country:US
Mailing Address - Phone:410-884-8000
Mailing Address - Fax:
Practice Address - Street 1:10710 CHARTER DR STE 200
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21044-3259
Practice Address - Country:US
Practice Address - Phone:410-884-8000
Practice Address - Fax:410-367-2474
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-18
Last Update Date:2020-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDP31319207V00000X
MDD0087847207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty