Individual
BRUCE BALTAZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
848 CENTRAL ST, FRAMINGHAM, MA 01701-4815
(508) 875-9529
Mailing address
848 CENTRAL ST, FRAMINGHAM, MA 01701-4815
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/15/2013
Last updated
03/15/2013
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