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Organization

PANAYIOTIS A. BALTATZIS, M.D., P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PANAYIOTIS A. BALTATZIS M.D. (M.D.)
(410) 882-4800
Entity
Organization

Contact information

Practice address
8113 HARFORD RD, SUITE 100, PARKVILLE, MD 21234-5707
(410) 882-4800
(410) 882-6667
Mailing address
8113 HARFORD RD, SUITE 100, PARKVILLE, MD 21234-5707
(410) 882-4800
(410) 882-6667

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D00288949
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
199449
MEDICARE
MD
01
PENDING
RAILROAD MEDICARE
GA
Enumeration date
08/27/2007
Last updated
03/18/2011
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