Organization
BALDINO SOUTHWEST FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VINCENT E BALDINO D.O. (PRESIDENT)
(215) 726-5600
Entity
Organization
Contact information
Practice address
5737 CHESTER AVE, PHILADELPHIA, PA 19143-5530
(215) 726-5600
(215) 727-3236
Mailing address
5737 CHESTER AVE, PHILADELPHIA, PA 19143-5530
(215) 726-5600
(215) 727-3236
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS003706L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0588052
—
PA
Enumeration date
12/06/2006
Last updated
08/22/2020
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