1780728170 NPI number — SONIA E. BAKER MD

Table of content: SONIA E. BAKER MD (NPI 1780728170)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1780728170 NPI number — SONIA E. BAKER MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BAKER
Provider First Name:
SONIA
Provider Middle Name:
E.
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
BLOME
Provider Other First Name:
SONIA
Provider Other Middle Name:
E
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
MD
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1780728170
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/03/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7505 OSLER DR
Provider Second Line Business Mailing Address:
SUITE 103
Provider Business Mailing Address City Name:
TOWSON
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21204-7736
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
410-427-2580
Provider Business Mailing Address Fax Number:
410-427-2581

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7505 OSLER DR
Provider Second Line Business Practice Location Address:
SUITE 103
Provider Business Practice Location Address City Name:
TOWSON
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21204-7736
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-427-2580
Provider Business Practice Location Address Fax Number:
410-427-2581
Provider Enumeration Date:
02/18/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207RC0000X , with the licence number:  D66139 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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