Individual
DR. ROMULO BALTAZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
703 MAIN ST, GROUND FLOOR - DEPARTMENT OF RADIOLOGY, PATERSON, NJ 07503-2621
(917) 720-7266
Mailing address
703 MAIN STREET, GROUND FLOOR - DEPARTMENT OF RADIOLOGY, PATERSON, NJ 07503-0002
(917) 720-7266
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A102575
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/16/2007
Last updated
07/07/2009
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