Provider / Organization | NPI | Date Certified |
---|---|---|
CARTER BAUGHMAN | 1477120871 | 2021-06-06 |
Carter Baughman is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1477120871. Registration indicates Carter Baughman is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care)
Entity Type | Individual |
Provider Name | Carter Baughman |
Practice Office Address | 330 BROOKLINE AVE BOSTON, MA US |
Practice Office Telephone | 6176677000 |
Mailing Address | 330 BROOKLINE AVE BOSTON, MA 022155400 US |
Code | Practice | License No State |
---|---|---|
390200000X PRIMARY | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care | 288905
MA |