Individual
DR. JULIA O. BALTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1672 S COUNTY TRL STE 101, EAST GREENWICH, RI 02818-5099
(401) 885-7546
(401) 885-6640
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
(508) 334-8105
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
275273
MA
207ND0101X
MOHS-Micrographic Surgery Physician
16273
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110115620A
—
MA
Enumeration date
03/31/2014
Last updated
11/16/2020
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