Doctor Name: | DR. CHAD JOSEPH BAARSON |
NPI Number: | 1790965085 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | 02003271A |
Business Practice Address: | 8901 Rockville Pike C/o Branch Health Clinic Director Bethesda, MD - 208890001 |
Business Phone Number: | 3012954661 |
Business Fax Number: | |
Mailing Address: | 8901 Rockville Pike, C/o Branch Health Clinic Director BETHESDA |
State: | MD |
Postal Code: | 208890001 |
Phone Number: | 3012954661 |
Fax Number: | |
NPI Enumeration Date: | 11/05/2007 |
NPI Last Update Date: | 11/05/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 02003271A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |