Individual
DR. DVORAH BALSAM
Active
Individual
DR. DVORAH BALSAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
Primary
101354
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00778547
—
NY
01
—
4518803
AETNA
NY
01
—
74R981
EMP B/C B/S
NY
Enumeration date
06/22/2006
Last updated
07/08/2007
Update your record
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