Basic Information
Provider Information
NPI: 1578884409
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BALDWIN
FirstName: PAUL
MiddleName: CLAY
NamePrefix: DR.
NameSuffix: III
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2 HOT METAL ST
Address2: QUANTUM ONE SUITE 001
City: PITTSBURGH
State: PA
PostalCode: 152032348
CountryCode: US
TelephoneNumber: 8886479600
FaxNumber: 4124325640
Practice Location
Address1: 9104 BABCOCK BLVD
Address2: SUITE 5113
City: PITTSBURGH
State: PA
PostalCode: 152375818
CountryCode: US
TelephoneNumber: 4127487444
FaxNumber: 4127487452
Other Information
ProviderEnumerationDate: 06/15/2010
LastUpdateDate: 09/28/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207X00000XMD458501PAY Allopathic & Osteopathic PhysiciansOrthopaedic Surgery 

No ID Information.


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