Individual
MARK BALCENIUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9501 ROOSEVELT BLVD STE 312, PHILADELPHIA, PA 19114-1028
(215) 331-7001
(215) 331-7004
Mailing address
1101 MARKET ST FL 19, PHILADELPHIA, PA 19107-2926
(215) 481-6836
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
MD481020
PA
Other
Enumeration date
03/24/2015
Last updated
10/31/2023
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