Provider Demographics
NPI:1326331596
Name:DR. HELEN M. BALDADO,MD. ASSOC. &PA
Entity Type:Organization
Organization Name:DR. HELEN M. BALDADO,MD. ASSOC. &PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HELEN
Authorized Official - Middle Name:M
Authorized Official - Last Name:BALDADO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-742-0871
Mailing Address - Street 1:547 RIVERSIDE DR STE F
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:MD
Mailing Address - Zip Code:21801-5369
Mailing Address - Country:US
Mailing Address - Phone:410-742-0871
Mailing Address - Fax:
Practice Address - Street 1:547 RIVERSIDE DR STE F
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21801-5369
Practice Address - Country:US
Practice Address - Phone:410-742-0871
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-22
Last Update Date:2011-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0016840261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD001351000Medicaid
MDT864OtherBCBS
MD1298HMMedicare PIN
MDB68165Medicare UPIN