Individual
DR. GERARD ANTHONY BALTAZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5 PERRYRIDGE RD, GREENWICH, CT 06830-4608
(203) 863-3000
Mailing address
405 WILMOT RD, NEW ROCHELLE, NY 10804-1019
(646) 596-6161
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
255827
NY
2086S0102X
Surgical Critical Care Physician
255827
NY
2086S0127X
Trauma Surgery Physician
255827
NY
Other
Enumeration date
01/13/2010
Last updated
01/07/2026
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