Individual
JORGE M BALAGUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 NICOLLS RD RM 80, STONY BROOK, NY 11794-6110
(631) 444-1820
Mailing address
101 NICOLLS RD RM 80, STONY BROOK, NY 11794-8191
(631) 444-1820
(631) 444-8963
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
152790
MA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
MD39371
TN
Other
Enumeration date
06/02/2006
Last updated
08/26/2019
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