Individual
REMEDIOS P BALTAZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
303 EASTERN BLVD, BALTIMORE, MD 21221-6921
(410) 686-2484
(410) 686-1078
Mailing address
303 EASTERN BLVD, BALTIMORE, MD 21221-6921
(410) 686-2484
(410) 686-1078
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D09082
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0264610000
—
MD
Enumeration date
08/09/2006
Last updated
07/08/2007
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