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Provider Information for 1417991993

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

CHRISTOPHER WALLACE BAIRD M.D.

Gender: MALE

Individual NPI: 1417991993

Calendar   Last Updated:  2010-05-28
  Certification Date: 

Details

Name Value
NPI 1417991993
Enumeration Date 2006-06-15
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 300 LONGWOOD AVE FA-144
BOSTON, MA 02115-5724
United States

Phone: 617-355-7932 | Fax: 617-730-0214
View Map External Link
Primary Practice Address 300 LONGWOOD AVE FA-144
BOSTON, MA 02115-5724
United States

Phone: 617-355-7932 | Fax: 617-730-0214
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Other BCBS NC 143AE
MEDICAID SC N00793
MEDICAID NC 5904485
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 208G00000X - Thoracic Surgery (Cardiothoracic Vascular Surgery) MA 224398
No 2086S0120X - Surgery Pediatric Surgery MA 224398
No 208G00000X - Thoracic Surgery (Cardiothoracic Vascular Surgery) NC 2006-01140
No 2086S0120X - Surgery Pediatric Surgery NC 2006-01140
No 208G00000X - Thoracic Surgery (Cardiothoracic Vascular Surgery) PA MD417984
No 2086S0120X - Surgery Pediatric Surgery PA MD417984