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Provider Information for 1427243237

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

NICOLE TARA BAUMER M.D.

Gender: FEMALE

Individual NPI: 1427243237

Calendar   Last Updated:  2014-06-19
  Certification Date: 

Details

Name Value
NPI 1427243237
Enumeration Date 2007-09-14
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 300 LONGWOOD AVE BOSTON CHILDREN'S HOSPITAL
BOSTON, MA 02115-5724
United States

Phone: 617-355-6000 | Fax:
View Map External Link
Primary Practice Address 55 FRUIT STREET MASSACHUSETTS GENERAL HOSPITAL
BOSTON, MA 02114
United States

Phone: 617-726-2000 | Fax:
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 2080P0008X - Pediatrics Neurodevelopmental Disabilities MA 242642
No 2084N0402X - Psychiatry & Neurology Neurology with Special Qualifications in Child Neurology MA 242642