Earl Lewin Baker, MD
Internal Medicine in Derby, CT. Individual provider (NPI-1).
NPI number1265635148
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1265635148
- Entity type
- Individual (NPI-1)
- Name
- Earl Lewin Baker
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 7, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 014213 | CT | Yes |
Practice location
130 Division StreetDerby, CT 06418
Phone 203-735-7421
Mailing address
591 Wingfoot RoadOrange, CT 06477-2743
Phone 203-795-6540
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