Baum, Gregory Alan

Baum, Gregory Alan is an individual health care provider with primary practice located at 5898 Bridge St , East Syracuse NY 13057-1305. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Baum, Gregory Alan can be contacted via phone (315) 663-0112.

Contact Information

Primary practice address
5898 Bridge St East Syracuse NY 13057-1305
Phone: (315) 663-0112
Fax: (315) 663-0132
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 216811-1 New York

Profile Details

NPI number 1720083090
LBN Legal business name Baum, Gregory Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2005
Last updated May 11th, 2020 - about 6 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 1720083090 NPPES
New York Other RB7625 MEDICARE PTAN

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