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NPI Code Detail

MEDICARE: RONALD BAPTISTE LADC

MEDICARE: RONALD BAPTISTE LADC
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
1101YA0400XAddiction (Substance Use Disorder) Counselor1163CT

General Provider Information

NPI Number : 1902269194
Entity Type Code : Individual
Provider Name (Legal Business Name) : RONALD BAPTISTE LADC
Provider Business Mailing Address
First Line : 104 WOODSIDE GRN APT 2B
Second Line :
City : STAMFORD
State : CT
Zip : 06905-4908
Country : US
Telephone Number : 203-808-8564
Fax Number :
Provider Business Practice Location Address
First Line : 94 EAST AVE
Second Line :
City : NORWALK
State : CT
Zip : 06851-5024
Country : US
Telephone Number : 203-808-8564
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2016
Last Update Date : 02/08/2022

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Directions to “ RONALD BAPTISTE LADC” Practice Location

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