Provider Demographics
NPI:1528344660
Name:BAKER & WARSHAUER P C
Entity type:Organization
Organization Name:BAKER & WARSHAUER P C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:E
Authorized Official - Last Name:WARSHAUER
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:617-437-1520
Mailing Address - Street 1:341 MARLBOROUGH ST
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02115-1725
Mailing Address - Country:US
Mailing Address - Phone:617-437-1520
Mailing Address - Fax:617-236-1478
Practice Address - Street 1:341 MARLBOROUGH ST
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115-1725
Practice Address - Country:US
Practice Address - Phone:617-437-1520
Practice Address - Fax:617-236-1478
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-02
Last Update Date:2011-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADN132911223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty