# DR. ANTHONY NICHOLAS BALDACHINO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1265173611
- **Gender:** Man
- **Credential:** DPT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 40QA02041700 | NJ | Yes |

## Other

- **Enumeration date:** 04/07/2022
- **Last updated:** 04/07/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | YHZ72179500 | — | NJ |