Individual
BALLANTINES FABRIZIO ALEGRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5515 PEACH ST, ERIE, PA 16509-2603
(540) 645-7114
(540) 645-7114
Mailing address
5515 PEACH ST, ERIE, PA 16509-2603
(540) 645-7114
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OT018185
PA
Other
Enumeration date
12/28/2017
Last updated
12/28/2017
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