Whalio Doctors

NPI 1720083090

Gregory Alan Baum, MD

Practitioner Plastic Surgery Physician East Syracuse, NY

Practice location

Address
5898 Bridge St, East Syracuse, NY 13057-1305
Phone
(315) 663-0112
Fax
(315) 663-0132
Mailing address
5898 Bridge St, East Syracuse, NY 13057

Registered specialties

Plastic Surgery Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208200000X Licence 216811-1 (NY)

Registry record

NPI
1720083090
Entity type
Individual
Sex (as registered)
Male
NPI issued
14 Jun 2005
Record last updated
11 May 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.