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1730381377 NPI number — ELIZABETH LUCARELLI-BALDWIN MD

NPI Number: 1730381377
Health Care Provider/Practitioner: ELIZABETH LUCARELLI-BALDWIN MD

Information about “1730381377” NPI (ELIZABETH LUCARELLI-BALDWIN MD) exists in 1730381377 in HTML format HTML  |  1730381377 in plain Text format TXT  |  1730381377 in PDF (Portable Document Format) PDF  |  1730381377 in an XML format XML  formats.

NPI Number : 1730381377 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1730381377",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LUCARELLI-BALDWIN",
    "FirstName": "ELIZABETH",
    "MiddleName": null,
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "LUCARELLI",
    "OtherFirstName": "ELIZABETH",
    "OtherMiddleName": "ANN",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "PO BOX 416524",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BOSTON",
    "MailingAddressStateName": "MA",
    "MailingAddressPostalCode": "02241-6454",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "844-362-1735",
    "MailingAddressFaxNumber": "973-290-7495",
    "FirstLinePracticeLocationAddress": "435 SOUTH ST STE 380",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MORRISTOWN",
    "PracticeLocationAddressStateName": "NJ",
    "PracticeLocationAddressPostalCode": "07960-6481",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "973-971-7080",
    "PracticeLocationAddressFaxNumber": "973-290-8312",
    "EnumerationDate": "06/05/2007",
    "LastUpdateDate": "10/08/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "174400000X",
          "TaxonomyName": "Specialist",
          "LicenseNumber": "25MA08263400",
          "LicenseNumberStateCode": "NJ",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207VM0101X",
          "TaxonomyName": "Maternal & Fetal Medicine Physician",
          "LicenseNumber": "25MA08263400",
          "LicenseNumberStateCode": "NJ",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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