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Individual
MICHAEL DAVID BALDOVSKY
Active
Individual
MICHAEL DAVID BALDOVSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0102201890
VA
208000000X
Pediatrics Physician
H0065115
MD
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
P3690
TX
Other
Enumeration date
10/03/2006
Last updated
08/07/2012
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