Provider Demographics
NPI:1144338138
Name:BAKER, JOSEPH JAY (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:JAY
Last Name:BAKER
Suffix:
Gender:M
Credentials:MD, MPH
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Mailing Address - Street 1:1340 BOYLSTON ST
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02215-4302
Mailing Address - Country:US
Mailing Address - Phone:617-267-0900
Mailing Address - Fax:617-247-3460
Practice Address - Street 1:1340 BOYLSTON ST
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02215-4302
Practice Address - Country:US
Practice Address - Phone:617-267-0900
Practice Address - Fax:617-247-3460
Is Sole Proprietor?:No
Enumeration Date:2006-08-29
Last Update Date:2021-04-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA245637207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC8004-0037OtherCAREFIRST BCBS
DC26428OtherCHARTERED HEALTH PLAN
021652W96Medicare PIN