Individual
PETER BALAZS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
703 MAIN ST, PATERSON, NJ 07503-2621
(973) 754-3343
Mailing address
703 MAIN ST, PATERSON, NJ 07503-2621
(201) 968-7492
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
25MA09162800
NJ
207V00000X
Obstetrics & Gynecology Physician
C1-0027170
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25 MA09162800
STATE LICENSE
NJ
Enumeration date
10/28/2008
Last updated
06/18/2024
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