Provider Demographics
NPI:1487749313
Name:BAUMAN, NATAN (ED,MS,ENG,FAAA)
Entity type:Individual
Prefix:DR
First Name:NATAN
Middle Name:
Last Name:BAUMAN
Suffix:
Gender:M
Credentials:ED,MS,ENG,FAAA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:625 REDSTONE DR
Mailing Address - Street 2:
Mailing Address - City:CHESHIRE
Mailing Address - State:CT
Mailing Address - Zip Code:06410-1749
Mailing Address - Country:US
Mailing Address - Phone:203-623-7323
Mailing Address - Fax:
Practice Address - Street 1:3074 WHITNEY AVE BLDG 1
Practice Address - Street 2:
Practice Address - City:HAMDEN
Practice Address - State:CT
Practice Address - Zip Code:06518-2391
Practice Address - Country:US
Practice Address - Phone:475-227-0842
Practice Address - Fax:203-745-0402
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2024-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000115237600000X, 231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTNHS256OtherAUDIOLOGY
CT18013AOtherAUDIOLOGY
CT730000115CT01OtherAUDIOLOGY
CTORO855OtherAUDIOLOGY
CT0000199790402OtherAUDIOLOGY
CT408134OtherAUDIOLOGY