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Organization

ANGEL BALCITA, MD, PC

Active
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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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