Individual
JOHN A BALACKO
Active
Individual
JOHN A BALACKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
MD036R70E
PA
207RI0011X
Interventional Cardiology Physician
Primary
MD036270E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014154670004
—
PA
05
—
0014154670007
—
PA
05
—
2745579
—
OH
05
—
3810008241
—
WV
Enumeration date
03/22/2006
Last updated
10/01/2020
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