Individual
MISS JOHANNA P BALDASSARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1153 CENTRE ST., FAULKNER HOSPITAL, BOSTON, MA 02130
(617) 983-7000
Mailing address
4 WEBB RD, SHARON, MA 02067-2613
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
259395
MA
Other
Enumeration date
05/23/2007
Last updated
11/26/2014
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