Provider Demographics
NPI:1740719426
Name:BAIRD, KATIE ALICE (MD)
Entity type:Individual
Prefix:DR
First Name:KATIE
Middle Name:ALICE
Last Name:BAIRD
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:50 STANIFORD ST FL 9
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02114-2506
Mailing Address - Country:US
Mailing Address - Phone:617-724-6610
Mailing Address - Fax:617-724-0802
Practice Address - Street 1:50 STANIFORD ST FL 9
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-2506
Practice Address - Country:US
Practice Address - Phone:617-724-6610
Practice Address - Fax:617-724-0802
Is Sole Proprietor?:No
Enumeration Date:2017-06-07
Last Update Date:2020-07-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA272353207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine