MEDICARE: MICHAEL C BALDINO DO

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	207RN0300X	Nephrology Physician	1023688	MA

General Provider Information

NPI Number	:	1225667694
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL C BALDINO DO

Provider Business Mailing Address
First Line	:	47 OBERY ST STE 1A
Second Line	:
City	:	PLYMOUTH
State	:	MA
Zip	:	02360-2230
Country	:	US
Telephone Number	:	508-747-4883
Fax Number	:

Provider Business Practice Location Address
First Line	:	47 OBERY ST STE 1A
Second Line	:
City	:	PLYMOUTH
State	:	MA
Zip	:	02360-2230
Country	:	US
Telephone Number	:	508-747-4883
Fax Number	:	508-747-6661

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

Provider Enumeration Date	:	04/07/2020
Last Update Date	:	07/29/2025

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