Provider Demographics
NPI:1700866548
Name:BALTZ, MATTHEW S (MD)
Entity Type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:S
Last Name:BALTZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:200 MILL RD
Mailing Address - Street 2:SUITE 180
Mailing Address - City:FAIRHAVEN
Mailing Address - State:MA
Mailing Address - Zip Code:02719-5252
Mailing Address - Country:US
Mailing Address - Phone:508-973-2000
Mailing Address - Fax:508-973-2001
Practice Address - Street 1:300B FAUNCE CORNER RD
Practice Address - Street 2:
Practice Address - City:NORTH DARTMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02747-1257
Practice Address - Country:US
Practice Address - Phone:508-973-1020
Practice Address - Fax:508-973-1025
Is Sole Proprietor?:No
Enumeration Date:2006-01-18
Last Update Date:2020-04-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA156517207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA3197328Medicaid
MAB20829801OtherCIGNA
MA156517OtherTUFTS HEALTH PLAN
MAJ18979OtherBCBS OF MASSACHUSETTS
MA000000023888OtherBOSTON MEDICAL CTR HEALTH
MA807930OtherHARVARD PILGRIM HEALTHCAR
MA0018476OtherNEIGHBORHOOD HEALTH PLAN
MA3197328Medicaid
MA40566OtherCHILDRENS MEDICAL SECURIT
MA200039388OtherRAILROAD MEDICARE
MAP2330544OtherOXFORD HEALTH PLAN
MA2161889OtherAETNA/US HEALTHCARE
MA807930OtherHARVARD PILGRIM HEALTHCAR
MAG70948Medicare UPIN