DR. Jack Lawrence Baldassare, MD
NPI #1225070121 in Tenafly, New Jersey
Provider Information
- NPI Number
- 1225070121
- Entity Type
- Individual
- Name
- DR. Jack Lawrence Baldassare, MD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Radiology - Diagnostic Radiology
- Credential
- MD
- Enumeration Date
- Jun 12, 2006
- Last Updated
- Dec 15, 2009
Practice Location
- Address
- 220 OXFORD DR
- City
- Tenafly
- State
- New Jersey
- ZIP Code
- 07670-3118
- Phone
- (201) 567-6156
Specialties & Taxonomy Codes
| Specialty |
|---|
| Radiology - Diagnostic Radiology — Diagnostic Radiology |
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