Most Relevant Information
Provider Data
| NPI Number: | 1003301847 |
| Provider Name: | DAVID BALTRUSAITIS MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/25/2018 |
| Last Updated: | 04/24/2024 |
Provider Practice Location
75 FRANCIS ST
BOSTON
MA
021156106
Practice Location Phone/Fax
| Phone: | 7814168400 |
| Fax: |
Provider Mailing Location
263 FARMINGTON AVE
FARMINGTON
CT
060300001
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |