Provider Demographics
NPI:1922168756
Name:BALDINO, ANNA RITA (DO)
Entity Type:Individual
Prefix:DR
First Name:ANNA
Middle Name:RITA
Last Name:BALDINO
Suffix:
Gender:F
Credentials:DO
Other - Prefix:MRS
Other - First Name:ANNA
Other - Middle Name:RITA
Other - Last Name:DINSMORE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:24 HARROWGATE DR
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08003-1913
Mailing Address - Country:US
Mailing Address - Phone:856-751-7833
Mailing Address - Fax:
Practice Address - Street 1:1901 MARKET ST
Practice Address - Street 2:29TH FLOOR
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19103-1400
Practice Address - Country:US
Practice Address - Phone:215-241-3834
Practice Address - Fax:215-241-2878
Is Sole Proprietor?:No
Enumeration Date:2006-12-11
Last Update Date:2007-07-08
Deactivation Date:2006-12-12
Deactivation Code:
Reactivation Date:2007-01-05
Provider Licenses
StateLicense IDTaxonomies
PAOS005109L208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics