Jack Lawrence Baldassare in Tenafly - Diagnostic Radiology
Jack Lawrence Baldassare - NPI 1225070121
Jack Lawrence Baldassare is a Diagnostic Radiology in Tenafly, New Jersey. Jack Lawrence Baldassare practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Jack Lawrence Baldassare is 1225070121. The last update date is 2009-12-15.
Jack Lawrence Baldassare's current location address is 220 Oxford Dr, Tenafly, New Jersey. You can contact this provider via phone number 2015676156 and fax number 2018718708. The mailing address for Jack Lawrence Baldassare is 220 Oxford Dr, Tenafly, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack Lawrence Baldassare |
|---|---|
| Address | 220 Oxford Dr, Tenafly, New Jersey |
| Phone Number | 2015676156 |
| Fax Number | 2018718708 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1225070121 |
|---|---|
| Provider Enumeration Date | 2006-06-12 |
| Last Updated Date | 2009-12-15 |
Provider Mailing Address Detail
| Address | 220 Oxford Dr |
|---|---|
| City | Tenafly |
| State | New Jersey (NJ) |
| Post Code | 76703118 |
| Phone Number | 2015676156 |
| Fax Number | 2018718708 |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | 25MA3606000 |
|
Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 481521 | NY | -- | |
| BA113644 | NJ | MEDICARE ID-TYPE | |
| 864307 | NJ | -- |
Post Comment/ Review Below
What is the Jack Lawrence Baldassare's unique identification number?
The Jack Lawrence Baldassare has been assigned the NPI (National Provider Identifier) Number 1225070121 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Jack Lawrence Baldassare's facilities are situated?
The facilities of Jack Lawrence Baldassare are physically located at the following address: 220 Oxford Dr, Tenafly, NJ, 76703118.
What is Jack Lawrence Baldassare's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jack Lawrence Baldassare is Diagnostic Radiology, and the taxonomy classification code that categorizes this area of expertise is 2085R0202X.
On what date did the Centers for Medicare & Medicaid Services issue the 1225070121 to Jack Lawrence Baldassare?
The Jack Lawrence Baldassare received its 1225070121 assignment from the Centers for Medicare & Medicaid Services on 2006-06-12.
When was the information regarding Jack Lawrence Baldassare most recently updated?
The details pertaining to the Jack Lawrence Baldassare, including its address, specialty, and other relevant information, were last refreshed on 2009-12-15.