Individual
DANIEL BALLANTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
6TH AVE AND SPRUCE STREET, WEST READING, PA 19611-1428
(610) 988-5455
Mailing address
PO BOX 13579, READING, PA 19612-3579
(484) 628-0799
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OT013969
PA
Other
Enumeration date
04/25/2011
Last updated
11/17/2014
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