| Doctor Name: | MR. WILLIAM JOHN BAUM |
| NPI Number: | 1023423233 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | FNP |
| License Number: | 063367-23 |
| Business Practice Address: | 128 Nh 27 Raymond, NH - 030771220 |
| Business Phone Number: | 9784675622 |
| Business Fax Number: | 6036598003 |
| Mailing Address: | 128 Nh 27, RAYMOND |
| State: | NH |
| Postal Code: | 030771220 |
| Phone Number: | 6036593106 |
| Fax Number: | 6036598003 |
| NPI Enumeration Date: | 06/25/2014 |
| NPI Last Update Date: | 02/08/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 063367-23 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NH |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |