Vance P Baughman
Physician Assistant, Medical in Bridgeport, CT. Individual provider (NPI-1).
NPI number1578024105
StatusActive
Last updated in NPPESJul 18, 2025
Details
- NPI
- 1578024105
- Entity type
- Individual (NPI-1)
- Name
- Vance P Baughman
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 27, 2019
- Certification date
- Jul 18, 2025
- Last updated
- Jul 18, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | – | – | Yes |
| 363A00000X | Physician Assistant | C0008707 | MD |
Practice location
325 Lafayette St Unit 1003Bridgeport, CT 06604-5472
Phone 443-814-3731
Mailing address
325 Lafayette St Unit 1003Bridgeport, CT 06604-5472
Phone 443-814-3731
Other practice locations
1800 Orleans St
Baltimore, MD 21287-0010
Baltimore, MD 21287-0010
Phone 410-955-5000
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