Individual
DR. JOAN BALABAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6910 WISSAHICKON AVE, PHILADELPHIA, PA 19119-3728
(215) 844-2044
(215) 844-2046
Mailing address
6910 WISSAHICKON AVE, PHILADELPHIA, PA 19119-3728
(215) 844-2044
(215) 844-2046
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD038814E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD038814E
LICENSE NUMBER
PA
Enumeration date
04/06/2009
Last updated
04/06/2009
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