Organization
ANGEL BALCITA, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANGEL B. BALCITA JR. M.D. (PRESIDENT/OWNER)
(724) 547-0505
Entity
Organization
Contact information
Practice address
1027 W MAIN ST, MT PLEASANT, PA 15666
(724) 547-0505
(724) 547-3942
Mailing address
PO BOX 1054, MT PLEASANT, PA 15666
(724) 547-0505
(724) 547-3942
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD030027E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00920307003
—
PA
01
—
055185
MEDICARE
PA
Enumeration date
07/15/2008
Last updated
08/21/2008
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