Basic Information
| Provider Information | |||||||||
| NPI: | 1225303548 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BAUR | ||||||||
| FirstName: | MAUREEN | ||||||||
| MiddleName: | M. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 59 S COUNTY COMMONS WAY FL H32 | ||||||||
| Address2: | |||||||||
| City: | S KINGSTOWN | ||||||||
| State: | RI | ||||||||
| PostalCode: | 028798270 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4017830084 | ||||||||
| FaxNumber: | 4017820005 | ||||||||
| Practice Location | |||||||||
| Address1: | 59 S COUNTY COMMONS WAY | ||||||||
| Address2: | |||||||||
| City: | WAKEFIELD | ||||||||
| State: | RI | ||||||||
| PostalCode: | 028798270 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4017830084 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/20/2012 | ||||||||
| LastUpdateDate: | 03/28/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 03/28/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | MD17102 | RI | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.