MISS JOHANNA P BALDASSARI


Address: 1153 Centre St., Faulkner Hospital, Boston, MA 02130
Phone: 6179837000

MISS JOHANNA P BALDASSARI (NPI# 1184834707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1184834707
Entity Type Individual
Full Name MISS JOHANNA P BALDASSARI
Credential NP
Practice Address 1153 Centre St.
Faulkner Hospital
Boston
MA 02130
Mailing Address 4 Webb Rd
Sharon
MA 02067-2613
Practice Telephone 6179837000
Enumeration Date 2007-05-23
Last Update Date 2014-11-26
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
259395 MA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1153 CENTRE ST.
FAULKNER HOSPITAL
City BOSTON
State MA
Zip Code 02130

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1902389281 Susan N. Berkman Social Worker 111 Perkins St., Apt.120, Jamaica Plain, MA 02130 2018-09-12
1326551912 Cindy Tromp Counselor Arbour Hospital, 49 Robinwood Ave, Jamaica Plain, MA 02130 2017-11-06
1811415128 Jesse Myles Carmen Social Worker 555 Armory Street, Jamaica Plain, MA 02130 2017-09-07
1881119410 Melanie Suzanne Witman Counselor 1125 Centre Street, Boston, MA 02130 2017-08-04
1740702125 Farah Clermont Counselor 3815 Washington St., Jamaica Plain, MA 02130 2017-07-07
1346777554 Anjalie L Pieres Counselor 157 Green Streey, Jamaica Plain, MA 02130 2017-05-18
1316480098 Caroline Amina Shaw-moss Counselor 7 Burr St., Boston, MA 02130 2016-11-29
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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Competitor

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City BOSTON
Zip Code 02130

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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