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Organization

BALTAZAR WOMENS CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RODNEY BALTAZAR D.O. (OWNER)
(302) 449-1979
Entity
Organization

Contact information

Practice address
120 SANDHILL DR, MIDDLETOWN, DE 19708
(302) 449-1979
Mailing address
D71 OMEGA DR, NEWARK, DE 19713
(302) 283-3300

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
DC8364
RAILROAD GROUP
Enumeration date
02/28/2008
Last updated
02/28/2008
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