Provider Demographics
NPI:1588871040
Name:BAKER, LINDA JOYCE (MD)
Entity type:Individual
Prefix:DR
First Name:LINDA
Middle Name:JOYCE
Last Name:BAKER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 WHITEMARSH AVE
Mailing Address - Street 2:
Mailing Address - City:ERDENHEIM
Mailing Address - State:PA
Mailing Address - Zip Code:19038-8239
Mailing Address - Country:US
Mailing Address - Phone:215-233-0509
Mailing Address - Fax:
Practice Address - Street 1:3138 BUTLER PIKE STE 200
Practice Address - Street 2:
Practice Address - City:PLYMOUTH MEETING
Practice Address - State:PA
Practice Address - Zip Code:19462-1946
Practice Address - Country:US
Practice Address - Phone:610-567-3520
Practice Address - Fax:484-530-0998
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD026632E208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0009731500003Medicaid
PA0009731500003Medicaid
PA1800881Medicare ID - Type Unspecified