Provider Demographics
NPI:1194958918
Name:DRS. BALDWIN, HORNBAKE AND SPAGNOLA PC
Entity type:Organization
Organization Name:DRS. BALDWIN, HORNBAKE AND SPAGNOLA PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:EARL
Authorized Official - Middle Name:RODNEY
Authorized Official - Last Name:HORNBAKE
Authorized Official - Suffix:III
Authorized Official - Credentials:MD
Authorized Official - Phone:860-767-0145
Mailing Address - Street 1:10 WILDWOOD MEDICAL CENTER
Mailing Address - Street 2:
Mailing Address - City:ESSEX
Mailing Address - State:CT
Mailing Address - Zip Code:06426-1154
Mailing Address - Country:US
Mailing Address - Phone:860-767-0145
Mailing Address - Fax:860-767-0021
Practice Address - Street 1:10 WILDWOOD MEDICAL CTR
Practice Address - Street 2:
Practice Address - City:ESSEX
Practice Address - State:CT
Practice Address - Zip Code:06426-1154
Practice Address - Country:US
Practice Address - Phone:860-767-0145
Practice Address - Fax:860-767-0021
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-27
Last Update Date:2009-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty