Individual
STEPHANIE BALTAJI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
320 E NORTH AVE, PITTSBURGH, PA 15212-4756
(412) 359-6656
(412) 359-6653
Mailing address
320 E NORTH AVE, PITTSBURGH, PA 15212-4756
(412) 245-0661
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
MD482382
PA
390200000X
Student in an Organized Health Care Education/Training Program
MT212246
PA
Other
Enumeration date
08/08/2016
Last updated
11/13/2023
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