Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 259997 | NY |
Y | 207XS0117X | Orthopaedic Spine Surgeon | 259997 | NY |
NPI | 1114151396 |
---|---|
Provider Name | Dr. Evan Oliver Baird |
First Address | Westwood, NJ 07675-3123 |
Second Address | Westwood, NJ 07675-3123 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/05/2009 |
Last Update Date | 23/03/2018 |