Baldino, Mary Ellen

Baldino, Mary Ellen is an individual health care provider with primary practice located at 333 Cedar St , New Haven CT 06510-3206. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Baldino, Mary Ellen can be contacted via phone (203) 200-2255.

Contact Information

Primary practice address
333 Cedar St New Haven CT 06510-3206
Phone: (203) 200-2255
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3128 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 3128 Connecticut

Profile Details

NPI number 1417958364
LBN Legal business name Baldino, Mary Ellen
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2005
Last updated Feb 3rd, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417958364 NPPES
Connecticut MEDICAID 004246494

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