Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACK LAWRENCE BALDASSARE, MD
ActiveDR. JACK LAWRENCE BALDASSARE, MD is a Diagnostic Radiology healthcare provider located in TENAFLY, New Jersey. NPI 1225070121 is currently active in the NPPES registry. Verify at CMS.
Diagnostic Radiology · TENAFLY, NJ
Registration Details
- NPI Number
- 1225070121
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 12, 2006 (20.178249234207 yrs)
- Last Updated
- Dec 15, 2009
- Licenses
-
25MA3606000 (NJ)124001-1 (NY)
Practice Information
- Address
-
220 OXFORD DRTENAFLY, NJ, 076703118Browse NJ providers · Browse ZIP 07670
- Phone
- 2015676156
- Fax
- 2018718708
- Primary Specialty
-
Diagnostic Radiology
2085R0202X
- Additional Specialty
- Diagnostic Radiology
Other Diagnostic Radiology Providers in TENAFLY, NJ
| Name | Credential | NPI |
|---|---|---|
| DR. GAIL QUACKENBUSH | M.D. | 1245271048 |
| STACEY SIEGEL | M.D. | 1952339905 |
| ANNA B KELLY | MD | 1184655375 |
| DR. CHRISTOPHER MARK MELE | MD | 1427071067 |
| JEFFREY P GOLDMAN | MD | 1114004009 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.