ERIC W BAUM I

SOUTHEASTERN DERMATOLOGY GROUP PA

Dr ERIC W BAUM I is a male medical professional, specializing in Dermatology. He graduated in 1978 from State University Of New York At Stony Brook, School Of Medicine.

Contact

SOUTHEASTERN DERMATOLOGY GROUP PA

101 CHERRY ST
GADSDEN
AL
359015234

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ERIC W BAUM I Information

Npi 1285669077
Pac Id 3971672445
Professional Enrollment Id I20101117000929
Last Name BAUM
First Name ERIC
Middle Name W
Suffix I
Gender M
Credential
Medical School Name STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduation Year 1978
Primary Specialty DERMATOLOGY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name SOUTHEASTERN DERMATOLOGY GROUP PA
Group Practice Pac Id 9931277233
Number Of Group Practice Members 33
Line 1 Street Address 101 CHERRY ST
Line 2 Street Address
Marker Of Address Line 2 Suppression
City GADSDEN
State AL
Zip Code 359015234
Phone Number
Hospital Affiliation Ccn 1 010104
Hospital Affiliation Lbn 1 GRANDVIEW MEDICAL CENTER
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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