Individual
JAVIER ANDRES BALDA CANIZARES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
736 CAMBRIDGE ST, BRIGHTON, MA 02135-2907
(617) 789-2666
Mailing address
25 HENSHAW ST, BRIGHTON, MA 02135-2927
(305) 680-9615
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
25597
NH
390200000X
Student in an Organized Health Care Education/Training Program
276626
MA
Other
Enumeration date
07/04/2018
Last updated
05/01/2024
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