Individual
DR. JOSEPH ANDREW BALASCHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
216 DIBERT STREET, JOHNSTOWN, PA 15901
(814) 535-7681
(814) 539-5708
Mailing address
501 HOWARD AVENUE, BLDG B-108, ALTOONA, PA 16601-4811
(814) 942-9701
(814) 942-7114
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DS020190L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00011333510001
—
PA
05
—
0005398260001
—
PA
Enumeration date
11/01/2006
Last updated
01/04/2008
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