MEDICARE: DR. GINA BALDWIN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	RP045737L	PA

General Provider Information

NPI Number	:	1174286694
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GINA BALDWIN

Provider Business Mailing Address
First Line	:	1705 S BRADDOCK AVE
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15218-1872
Country	:	US
Telephone Number	:	412-371-4456
Fax Number	:	412-242-6239

Provider Business Practice Location Address
First Line	:	1705 S BRADDOCK AVE
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15218-1865
Country	:	US
Telephone Number	:	412-371-4456
Fax Number	:	412-242-6239

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/21/2021
Last Update Date	:	10/21/2021

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Directions to “ DR. GINA BALDWIN ” Practice Location

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