NPI 1811483621 · live from the CMS NPI Registry
Javier Andres Balda Canizares, MD
Internal Medicine, Cardiovascular Disease in Brighton, MA. National Provider Identifier 1811483621, active.
NPI record
| NPI | 1811483621 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Cardiovascular Disease 207RC0000X |
| Practice location | 736 Cambridge St, Brighton, MA 02135 |
| Practice phone | 617-789-2666 |
| Mailing address | 25 Henshaw St, Brighton, MA 02135 |
| Enumerated | July 4, 2018 |
| Last updated | May 1, 2024 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 276626 (MA) |
| Internal Medicine, Cardiovascular Disease primary | 207RC0000X | 25597 (NH) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.