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Individual
DAVID M BALOGH
Active
Individual
DAVID M BALOGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8666
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8666
ST LICENSE NUMBER
CT
Enumeration date
10/14/2009
Last updated
10/14/2009
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