Baer, Phyllis

Baer, Phyllis is an individual health care provider with primary practice located at 398 Neponset Ave , Dorchester MA 02122-3134. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Baer, Phyllis can be contacted via phone (617) 282-3200.

Contact Information

Primary practice address
398 Neponset Ave Dorchester MA 02122-3134
Phone: (617) 282-3200
Fax: (617) 282-7928
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 37726 Massachusetts

Profile Details

NPI number 1548234065
LBN Legal business name Baer, Phyllis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2006
Last updated Apr 19th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548234065 NPPES
Massachusetts MEDICAID 2067196

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