Individual provider · NPI-1

Susan Baker, MD

Pathology, Clinical Pathology/Laboratory Medicine · Miami, FL

NPI number1912979626
StatusActive
Last updated in NPPESSep 17, 2007

Details

NPI
1912979626
Entity type
Individual (NPI-1)
Name
Susan Baker
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Feb 6, 2006
Last updated
Sep 17, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207ZP0105X Pathology, Clinical Pathology/Laboratory MedicineME46836FLYes
207ZC0500X Pathology, Cytopathologyme46836FL
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathologyme46836FL

Practice location

1100 Nw 95th St
Miami, FL 33150-2038

Phone 305-835-4725

Mailing address

Po Box 5040
Hialeah, FL 33014-1040

Phone 305-503-6320 · Fax 305-503-6329

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