Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207K00000X | Allergist & Immunologist | D58774 | MD |
Y | 207KA0200X | Allergist | D58774 | MD |
N | 207R00000X | Internist | D58774 | MD |
N | 111NI0900X | Internist | D58774 | MD |
N | 207RA0201X | Internist - Allergy & Immunology | D58774 | MD |
N | 2080P0201X | Pediatric Allergist | D58774 | MD |
NPI | 1063573186 |
---|---|
Provider Name | Dr. Rosalyn Baker |
First Address | Miami, FL 33231-0181 |
Second Address | Temple Hills, MD 20748-1854 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/12/2006 |
Last Update Date | 11/05/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H73515 | (02) |