Individual
DR. ROMULO F BALTAZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2435 W BELVEDERE AVE, SUITE 23, BALTIMORE, MD 21215-5224
(410) 601-8702
(410) 601-8704
Mailing address
2401 W BELVEDERE AVE, DEPT OF CREDENTIALING, BALTIMORE, MD 21215-5216
(410) 601-5524
(410) 601-8946
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
D18144
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0013919000
—
MD
01
—
CB9284
R/R MEDICARE GROUP #
MD
Enumeration date
04/07/2006
Last updated
11/21/2007
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