Individual
WILLIAM B BALCOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
123 SUMMER STREET, SUITE 320, WORCESTER, MA 01608
(508) 368-3140
(508) 368-3143
Mailing address
123 SUMMER STREET, SUITE 320, WORCESTER, MA 01608
(508) 368-3140
(508) 368-3143
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
77380
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2115778
—
MA
Enumeration date
01/23/2006
Last updated
07/25/2008
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