Baum, Tad David
Baum, Tad David is an sole proprietor health care provider with primary practice located at 50 Memorial Drive Suite 105, Leominster MA 01453. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Baum, Tad David can be contacted via phone (978) 534-2426.Contact Information
Primary practice address
50 Memorial Drive Suite 105
Leominster MA 01453
Phone: (978) 534-2426
Fax: (978) 534-4711
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 150333 | Massachusetts |
Profile Details
| NPI number | 1770597502 |
|---|---|
| LBN Legal business name | Baum, Tad David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 28th, 2006 |
| Last updated | Dec 28th, 2015 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770597502 | NPPES |
| Other | 043540266 | FALLON | |
| Other | 0800773 | FALLON | |
| Other | 151588 | FALLON | |
| Other | J16528 | FALLON | |
| MEDICAID | 3150356 | FALLON | |
| Other | 043540266 | FALLON | |
| Other | 043540266 | FALLON | |
| Other | 043540266 | FALLON | |
| Other | 3150356 | FALLON | |
| Other | 40918 | FALLON | |
| Other | B20757203 | FALLON | |
| Other | 043540266 | FALLON | |
| Other | 043540266 | FALLON | |
| Other | 150333 | FALLON | |
| Other | 2435111 | FALLON | |
| MEDICAID | 3150756 | FALLON | |
| Other | 977333 | FALLON |
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