Individual
DR. RICHARD BALTISBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1865 TAMARACK RD, NEWARK, OH 43055-1350
(220) 564-4940
(220) 564-4930
Mailing address
1865 TAMARACK RD, NEWARK, OH 43055-1350
(220) 564-4940
(220) 564-4930
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35071353
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2109971
—
OH
Enumeration date
07/12/2005
Last updated
03/18/2021
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