Individual provider · Type 1 NPI

Michael P. Baldassari

Student in an Organized Health Care Education/Training Program · Philadelphia, PA

NPI number 1790365484 Active

Practice location

900 Walnut St
Philadelphia, PA 19107-5191

Mailing address

1510 Chestnut St Apt 301
Philadelphia, PA 19102-2723

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1790365484

Michael P. Baldassari's National Provider Identifier is 1790365484, issued on Apr 8, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Philadelphia, PA. The record was last updated on Apr 9, 2021.