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Individual

EDWARD BALESTRINO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
296 CHURCH ST, PETROLIA, PA 16050
(724) 756-2940
(724) 756-8515
Mailing address
100 SHENANGO AVE, SHARON, PA 16146-1503
(724) 756-2940
(724) 756-8515

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS006965L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0012602650003
PA
Enumeration date
11/29/2005
Last updated
06/20/2024
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