Provider Demographics
NPI:1225667694
Name:BALDINO, MICHAEL C (DO)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:C
Last Name:BALDINO
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:47 OBERY ST STE 1A
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02360-2230
Mailing Address - Country:US
Mailing Address - Phone:508-747-4883
Mailing Address - Fax:
Practice Address - Street 1:47 OBERY ST STE 1A
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02360-2230
Practice Address - Country:US
Practice Address - Phone:508-747-4883
Practice Address - Fax:508-747-6661
Is Sole Proprietor?:No
Enumeration Date:2020-04-07
Last Update Date:2025-07-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA1023688207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology