Individual
ANITA C BALDOMERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
94 OLD SHORT HILLS RD, LIVINGSTON, NJ 07039-5672
(973) 322-5437
(973) 322-8833
Mailing address
66 WEST GILBERT ST, REDBANK, NJ 07701
(732) 212-0051
(732) 212-0713
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA03706900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2067005
—
NJ
Enumeration date
07/07/2006
Last updated
05/14/2008
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