Dr. Ophelia Baltazar
Adolescent Medicine
3805 Norrisville Rd
Jarrettsville
, Maryland 21084-1421
Dr. Ophelia Baltazar
Adolescent Medicine
3805 Norrisville Rd
Jarrettsville
, Maryland 21084-1421
(410) 557-9322
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About
Features
Specialties
- Adolescent Medicine
Languages spoken
- English
Location
First Address
- Dr. Ophelia Baltazar
- Po Box 216
- Jarrettsville, MD
- Zip : 21084-0216
- Phone : (410) 557-9322
Second Address
- Dr. Ophelia Baltazar
- 3805 Norrisville Rd
- Jarrettsville, MD
- Zip : 21084-1421
- Phone : (410) 557-9322
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080A0000X | Adolescent Medicine | D18750 | MD |
National Provider Identifier
| NPI | 1033120738 |
|---|---|
| Provider Name | Dr. Ophelia Baltazar |
| First Address | Jarrettsville, MD 21084-0216 |
| Second Address | Jarrettsville, MD 21084-1421 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/08/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.