Individual
LAURA J BALCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3400 SPRUCE ST, 2 RAVDIN, PHILADELPHIA, PA 19104
(215) 662-3606
(215) 349-5579
Mailing address
3400 SPRUCE ST, 2 RAVDIN, PHILADELPHIA, PA 19104-4206
(215) 662-3606
(215) 349-5579
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD051344L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015923630002
—
PA
Enumeration date
07/07/2006
Last updated
02/22/2021
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