NPI 1104895382 · live from the CMS NPI Registry
Michael David Baldwin, DO
Family Medicine in Essex, CT. National Provider Identifier 1104895382, active.
NPI record
| NPI | 1104895382 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 10 Wildwood Medical Ctr, Essex, CT 06426 |
| Practice phone | 860-767-0145 |
| Enumerated | March 17, 2006 |
| Last updated | May 30, 2012 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine, Adult Medicine | 207QA0505X | 000490 (CT) |
| Family Medicine primary | 207Q00000X | 000490 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.