Individual
MARGUERITE BALASTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3701 MARKET ST STE 760, PHILADELPHIA, PA 19104-5508
(215) 349-5200
Mailing address
3701 MARKET ST, STE 760, PHILADELPHIA, PA 19104-5502
(215) 349-5200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
53011
CT
208M00000X
Hospitalist Physician
Primary
MD455086
PA
Other
Enumeration date
03/31/2011
Last updated
07/21/2022
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