Richard Atwater Balderston
Orthopaedic Spine Surgeon
601 Walnut St Suite L50
Philadelphia
, Pennsylvania 19106-3323
Richard Atwater Balderston
Orthopaedic Spine Surgeon
601 Walnut St Suite L50
Philadelphia
, Pennsylvania 19106-3323
(215) 269-6701
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About
Features
Specialties
- Orthopaedic Spine Surgeon
Languages spoken
- English
Location
First Address
- Richard Atwater Balderston
- Po Box 8500-1672
- Philadelphia, PA
- Zip : 19178-1672
- Fax : (215) 269-6701
- Phone : (215) 269-6700
Second Address
- Richard Atwater Balderston
- 601 Walnut St Suite L50
- Philadelphia, PA
- Zip : 19106-3323
- Fax : (215) 409-9365
- Phone : (215) 409-9300
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207XS0117X | Orthopaedic Spine Surgeon | 25MA06837200 | NJ |
| Y | 207XS0117X | Orthopaedic Spine Surgeon | MD020871E | PA |
National Provider Identifier
| NPI | 1265476386 |
|---|---|
| Provider Name | Richard Atwater Balderston |
| First Address | Philadelphia, PA 19178-1672 |
| Second Address | Philadelphia, PA 19106-3323 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/06/2006 |
| Last Update Date | 18/02/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0052425000 | I.B.C. (01) | PA |
| 2069868 | AETNA (01) | PA |
| B41599 | (02) | PA |
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.