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Contact Information

RICHARD J BALTARO, MD
600 MOYE BLVD
GREENVILLE, NC27834-4300
 Phone: 252-744-2803
 Fax: 252-744-3616
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for RICHARD J BALTARO · (Male)

NPI # 1740394816
Status Active
Credentials MD
Entity Individual
Enumeration date 08/18/2006
Last updated 04/29/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • NC License # 2012-02097
  • NE License # 21838
  • NC Medicaid 5922177
  • NC Other 1748E BCBS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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