Provider Demographics
NPI:1902928435
Name:BAIRD, CYNTHIA MARLO (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:MARLO
Last Name:BAIRD
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:196 RAMBLEWOOD RD
Mailing Address - Street 2:
Mailing Address - City:MOORESTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08057-2652
Mailing Address - Country:US
Mailing Address - Phone:856-222-1330
Mailing Address - Fax:
Practice Address - Street 1:2001 LINCOLN DR W STE A
Practice Address - Street 2:
Practice Address - City:MARLTON
Practice Address - State:NJ
Practice Address - Zip Code:08053-1531
Practice Address - Country:US
Practice Address - Phone:856-663-3000
Practice Address - Fax:856-396-5534
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-04
Last Update Date:2011-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA05406200174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ223752556OtherEIN