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Contact Information

MANUEL BALDERAS, MD
41 MALL RD
BURLINGTON, MA01805-3509
 Phone: 781-744-8000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Addiction Medicine

2084A0401X 79 Physician/Addiction Medicine
 

Addiction Psychiatry

2084P0802X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for MANUEL BALDERAS · (Male)

NPI # 1851404545
Status Active
Credentials MD
Entity Individual
Enumeration date 08/16/2006
Last updated 01/24/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • MA License # 263953
  • TX License # L0011
  • Other 1408884-02 TPI
Hospital affiliation(s)
  • CAPE COD HOSPITAL - (Acute Care)
    88 LEWIS BAY ROAD
    HYANNIS, MA 02601
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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