Earl Lewin Baker, MD
Individual provider Active NPI Internal Medicine Physician · Derby, CT
NPI 1265635148 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1265635148
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 014213 (CT)
- Practice address
- 130 Division Street
Derby, CT 06418 - Phone
- (203) 735-7421
- NPI assigned
- Jun 7, 2007
- Sex
- Male
- Sole proprietor
- No
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
| License | State | Type | Specialty |
|---|---|---|---|
| 014213 | CT | MD | Internal Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 014213 | CT | Yes |
Addresses
Primary practice location
130 Division Street
Derby, CT 06418
Mailing address
591 Wingfoot Road
Orange, CT 06477-2743
Phone (203) 795-6540
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AB2383709 | Other | BNDD |
Other providers in Derby, CT
- Bahar Ataeinia
- Athena Counseling Services, LLC
- Ashlyn Augustine
- Pamela Austin
- Jamie Marie Avallone
- Denise Barajas
- Shiza Bari
- Sarah R. Beard
- Elizabeth Belen
- Barbara Joanna Belicia
All providers in Derby, CT · Internal Medicine Physician in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.