Provider Demographics
NPI:1154375350
Name:BAFFY, GYORGY (MD)
Entity type:Individual
Prefix:
First Name:GYORGY
Middle Name:
Last Name:BAFFY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:221 RESERVOIR RD
Mailing Address - Street 2:
Mailing Address - City:CHESTNUT HILL
Mailing Address - State:MA
Mailing Address - Zip Code:02467-1426
Mailing Address - Country:US
Mailing Address - Phone:617-232-2560
Mailing Address - Fax:
Practice Address - Street 1:150 S HUNTINGTON AVE RM A6-46
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02130-4817
Practice Address - Country:US
Practice Address - Phone:857-364-4327
Practice Address - Fax:857-364-4179
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-20
Last Update Date:2023-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMD10738207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI9023826Medicaid
RI9023826Medicaid