Provider Demographics
NPI:1598874547
Name:VINCENT E. BALDINO D O P C
Entity Type:Organization
Organization Name:VINCENT E. BALDINO D O P C
Other - Org Name:RITNER MEDICAL ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:VINCENT
Authorized Official - Middle Name:E
Authorized Official - Last Name:BALDINO
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:215-336-2145
Mailing Address - Street 1:1701 W RITNER ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19145-4324
Mailing Address - Country:US
Mailing Address - Phone:215-336-2145
Mailing Address - Fax:215-336-5732
Practice Address - Street 1:1701 W RITNER ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19145-4324
Practice Address - Country:US
Practice Address - Phone:215-336-2145
Practice Address - Fax:215-336-5732
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS003706L207Q00000X
PAOS008637L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty