Dr. JACK LAWRENCE BALDASSARE -- MD
Individual Provider (NPI-1)
Active
Radiology, Diagnostic Radiology
Provider Information
- NPI Number
1225070121- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 220 OXFORD DR, TENAFLY, NJ, 076703118
- Phone
- (201) 567-6156
- Fax
- (201) 871-8708
Specialties & Taxonomies
Radiology, Diagnostic Radiology
Primary License: NJ #25MA3606000
Radiology, Diagnostic Radiology
License: NY #124001-1