Individual provider · Type 1 NPI

Andrea Colleen Baines, MD, PhD

Student in an Organized Health Care Education/Training Program · Baltimore, MD

NPI number 1619266103 Active

Practice location

4940 Eastern Ave
Baltimore, MD 21224-2735

Call (410) 550-0535 Map

Fax (410) 550-0491

Mailing address

1779 Bridgewater Dr
Ypsilanti, MI 48198-3282

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1619266103

Andrea Colleen Baines, MD, PhD's National Provider Identifier is 1619266103, issued on Apr 5, 2011. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Baltimore, MD. The record was last updated on Apr 5, 2011.