Individual provider · Type 1 NPI

Nicholas Baniak, MD

Student in an Organized Health Care Education/Training Program · Boston, MA

NPI number 1942767504 Active

Practice location

75 Francis Street
Boston, MA 02115

Call (306) 655-0695 Map

Mailing address

375 Boylston Street Bwh Provider Services
Brookline, MA 02445

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 1942767504

Nicholas Baniak, MD's National Provider Identifier is 1942767504, issued on Mar 1, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Boston, MA. The record was last updated on Mar 1, 2019.