Individual
RICHARD ATWATER BALDERSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
25MA06837200
NJ
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
MD020871E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0052425000
I.B.C.
PA
01
—
2069868
AETNA
PA
Enumeration date
06/16/2006
Last updated
02/18/2013
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