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Individual

DENISE T BALISTRERI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1500 N BEAUREGARD ST, STE 200, ALEXANDRIA, VA 22311-1723
(703) 436-1215
Mailing address
1500 N BEAUREGARD ST, STE 200, ALEXANDRIA, VA 22311-1723
(703) 436-1215

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101050964
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6704999
VA
Enumeration date
03/15/2006
Last updated
02/05/2013
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