Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | D0074748 | MD |
NPI | 1053573501 |
---|---|
Provider Name | Dr. Dana C. Baras |
First Address | Wyomissing, PA 19610-3202 |
Second Address | Columbia, MD 21044-3128 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/06/2008 |
Last Update Date | 07/01/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
338419500 | (05) | MD |