Individual
DR. RICHARD JAMES BATTAFARANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 328-6366
(410) 328-0693
Mailing address
29 S GREENE ST, SUITE 504, BALTIMORE, MD 21201-1504
(410) 328-6366
(410) 328-0693
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
119382
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
120988
MO-BLUE SHIELD
—
05
—
204637300
—
MO
01
—
D65359
STATE LICENSE
MD
Enumeration date
07/17/2006
Last updated
11/09/2011
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