Edward Baker, MD

Individual provider Active NPI Obstetrics & Gynecology Physician · Alamo, CA

NPI 1053586396 · NPPES record last updated Feb 1, 2012

Key facts

NPI
1053586396
Entity type
Individual (NPI type 1)
Primary specialty
Obstetrics & Gynecology Physician 207V00000X
License
G070130 (CA)
Practice address
2110 Stone Valley Rd
Alamo, CA 94507-2034
Phone
(908) 635-4148
NPI assigned
Apr 28, 2008
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G070130CAMDObstetrics & Gynecology Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X G070130 CA Yes

Addresses

Primary practice location

2110 Stone Valley Rd
Alamo, CA 94507-2034

Mailing address

2110 Stone Valley Rd
Alamo, CA 94507-2034
Phone (908) 635-4148

Other providers in Alamo, CA

All providers in Alamo, CA · Obstetrics & Gynecology Physician in California

Sources for this page

Verify at the official NPI Registry.