Organization
MEDBALANCE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA DELISTATHIS MD (OWNER/PHYSICIAN)
(240) 507-5110
Entity
Organization
Contact information
Practice address
4701 SANGAMORE RD, SUITE N270, BETHESDA, MD 20816-2508
(240) 507-5110
(844) 682-8102
Mailing address
4701 SANGAMORE RD, SUITE N270, BETHESDA, MD 20816-2508
(240) 507-5110
(844) 682-8102
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D59980
MD
Other
Enumeration date
09/12/2016
Last updated
09/12/2016
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