Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204C00000X | Sports Medicine Doctor | ME14909 | FL |
Y | 207X00000X | Orthopaedic Surgeon | 50477 | MN |
NPI | 1477691061 |
---|---|
Provider Name | Dr. Paul Baxt |
First Address | New York, NY 10069-0601 |
Second Address | New York, NY 10069-0601 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/02/2007 |
Last Update Date | 08/06/2012 |