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Individual

JORDAN PAUL BALENCIC

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
500 UNIVERSITY DR, MAIL CODE H039, HERSHEY, PA 17033-2360
(717) 531-8903
(717) 531-5831
Mailing address
25 N 32ND ST, MAIL CODE H039, CAMP HILL, PA 17011-2918
(717) 730-9782

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
OS018254
PA

Other

Enumeration date
03/26/2013
Last updated
12/07/2016
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