Healthcare Provider Details

I. General information

NPI: 1013068097
Provider Name (Legal Business Name): MARIA BALDWIN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/16/2007
Last Update Date: 04/09/2024
Certification Date: 04/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3471 5TH AVE KAUFMANN BLDG. SUITE 810
PITTSBURGH PA
15213-3215
US

IV. Provider business mailing address

VA PITTSBURGH BUILDING 1, 10EAST, ROOM 133
PITTSBURGH PA
15240
US

V. Phone/Fax

Practice location:
  • Phone: 412-692-4920
  • Fax: 412-692-4907
Mailing address:
  • Phone: 412-360-6185
  • Fax: 412-360-6920

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084E0001X
TaxonomyEpilepsy Physician
License NumberMD442675
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: