Individual
ALPHONSE J BALUTA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
44 BIRCH ST, SUITE 200, DERRY, NH 03038-2752
(603) 421-9616
(603) 421-2451
Mailing address
44 BIRCH ST, SUITE 200, DERRY, NH 03038-2752
(603) 421-9616
(603) 421-2451
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
6541
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3084117
—
NH
Enumeration date
04/27/2006
Last updated
02/16/2015
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