# BALANCE-VITA PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Matt Watto MD Concierge Primary Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235095969
- **Authorized official:** MATTHEW WATTO MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (267) 270-2446

## Contact information

- **Practice address:** 12 W WILLOW GROVE AVE, PHILADELPHIA, PA 19118-3952
- **Practice address phone:** (267) 270-2446
- **Mailing address:** 12 W WILLOW GROVE AVE, PHILADELPHIA, PA 19118-3952

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |
| 261Q00000X | Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 12/26/2025
- **Last updated:** 12/26/2025
