Individual
DR. OPHELIA BALTAZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3805 NORRISVILLE RD, JARRETTSVILLE, MD 21084-1421
(410) 557-9322
Mailing address
PO BOX 216, JARRETTSVILLE, MD 21084-0216
(410) 557-9322
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
D18750
MD
Other
Enumeration date
08/10/2006
Last updated
07/08/2007
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