Individual
PAULA BALLARIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5401 PEACH ST, SUITE 3100, ERIE, PA 16509-2601
(814) 868-7830
(814) 868-2138
Mailing address
1 LECOM PL, ERIE, PA 16505-2571
(814) 868-2522
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD032703E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010532410006
—
PA
05
—
0010532410007
—
PA
05
—
0010532410008
—
PA
Enumeration date
04/18/2006
Last updated
08/07/2017
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