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Individual

LARA H BALDASARO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
360 GIFFORD ST, FALMOUTH, MA 02540
(508) 457-4900
(508) 457-4911
Mailing address
360 GIFFORD ST, FALMOUTH, MA 02540
(508) 457-4900
(508) 457-4911

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
1553
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P00784759
RAILROAD MEDICARE PTAN
MA
Enumeration date
10/03/2006
Last updated
02/26/2010
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