Basic Information
| Provider Information | |||||||||
| NPI: | 1730404955 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BAIK | ||||||||
| FirstName: | ESTHER | ||||||||
| MiddleName: | EUGIN | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 308 CATTAIL PASSAGE CT | ||||||||
| Address2: | |||||||||
| City: | SEVERNA PARK | ||||||||
| State: | MD | ||||||||
| PostalCode: | 211461815 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 1630 MAIN ST STE 101 | ||||||||
| Address2: | |||||||||
| City: | CHESTER | ||||||||
| State: | MD | ||||||||
| PostalCode: | 216192792 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4106046560 | ||||||||
| FaxNumber: | 4106435789 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/30/2010 | ||||||||
| LastUpdateDate: | 09/03/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 09/03/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | A125686 | CA | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | D0090530 | MD | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.