Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0122X | Plastic and Reconstructive Surgery | 042499 | CT |
NPI | 1033150081 |
---|---|
Provider Name | Dr. Michael Baroody |
First Address | Danbury, CT 06810-2304 |
Second Address | Danbury, CT 06810-2304 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2006 |
Last Update Date | 25/10/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I08418 | (02) |