Individual
ROBERTO LUIS BALADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
305 BLACK ROCK TPKE, FAIRFIELD, CT 06825-5508
(203) 337-2600
Mailing address
121 TOWNE ST APT 610, STAMFORD, CT 06902-5945
(203) 666-6972
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/14/2025
Last updated
01/14/2025
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