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Individual

RICHARD ATWATER BALDERSTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
601 WALNUT ST, SUITE L50, PHILADELPHIA, PA 19106-3323
(215) 409-9300
(215) 409-9365
Mailing address
PO BOX 8500-1672, PHILADELPHIA, PA 19178-1672
(215) 269-6700
(215) 269-6701

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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