MEDICARE: RICHARD ATWATER BALDERSTON M.D.

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	207XS0117X	Orthopaedic Surgery of the Spine Physician	MD020871E	PA
2	207XS0117X	Orthopaedic Surgery of the Spine Physician	25MA06837200	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0052425000	OTHER	PA	I.B.C.
2	2069868	OTHER	PA	AETNA

General Provider Information

NPI Number	:	1265476386
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICHARD ATWATER BALDERSTON M.D.

Provider Business Mailing Address
First Line	:	PO BOX 8500-1672
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19178-1672
Country	:	US
Telephone Number	:	215-269-6700
Fax Number	:	215-269-6701

Provider Business Practice Location Address
First Line	:	601 WALNUT ST
Second Line	:	SUITE L50
City	:	PHILADELPHIA
State	:	PA
Zip	:	19106-3323
Country	:	US
Telephone Number	:	215-409-9300
Fax Number	:	215-409-9365

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

Provider Enumeration Date	:	06/16/2006
Last Update Date	:	02/18/2013

Similar Medicare Providers

1386647105 — KAY & TABAS OPHTHALMOLOGY ASSOCIATES
Practice Location Address:

601 WALNUT ST STE 210W
PHILADELPHIA, PA
19106-3323

Practice Phone: 215-925-6402
Practice Fax: 215-925-0262

1073502647 — JANINE G TABAS M.D.
Practice Location Address:

601 WALNUT ST SUITE 210W
PHILADELPHIA, PA
19106-3323

Practice Phone: 215-925-6402
Practice Fax: 215-925-0262

1467441972 — MICHAEL LEON KAY M.D.
Practice Location Address:

601 WALNUT ST STE 210W
PHILADELPHIA, PA
19106-3323

Practice Phone: 215-925-6402
Practice Fax: 215-925-0262

1710921887 — ARTHUR ROBERT BARTOLOZZI M.D.
Practice Location Address:

601 WALNUT ST , STE L50
PHILADELPHIA, PA
19106-3323

Practice Phone: 215-409-9300
Practice Fax: 215-409-9365

1649215245 — RACHEL MIRIAM NIKNAM MD
Practice Location Address:

601 WALNUT ST STE 210W
PHILADELPHIA, PA
19106-3323

Practice Phone: 215-925-6402
Practice Fax: 215-925-0262

1689601288 — DR. MARIA MAZZOTTI DO
Practice Location Address:

601 WALNUT ST , SUITE 230E
PHILADELPHIA, PA
19106-3323

Practice Phone: 215-334-4049
Practice Fax: 215-462-9722

Directions to “ RICHARD ATWATER BALDERSTON M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.