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Organization
RICHARD ALLAN BALTER, MD FACP
Active
Organization
RICHARD ALLAN BALTER, MD FACP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD ALLAN BALTER M.D. (OWNER)
(631) 331-1000
Entity
Organization
Contact information
Practice address
6 STONE GATE CT, SETAUKET, NY 11733-1346
(631) 331-1000
(631) 928-7436
Mailing address
6 STONE GATE CT, SETAUKET, NY 11733-1346
(631) 331-1000
(631) 928-7436
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
1397591
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00699683
—
NY
Enumeration date
04/12/2007
Last updated
08/22/2020
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