Individual
CRISOSTOMO R BALIOG JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 COFFEE RD, MODESTO, CA 95355-4201
(209) 550-4755
Mailing address
PO BOX 1599, BANGOR, ME 04402-1599
(204) 404-8100
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
30831
AL
207R00000X
Internal Medicine Physician
LP00779
RI
207RR0500X
Rheumatology Physician
30831
AL
207RR0500X
Rheumatology Physician
Primary
C193839
CA
207RR0500X
Rheumatology Physician
MD20216
ME
Other
Enumeration date
03/12/2009
Last updated
05/07/2026
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