Individual
MR. JERRY GREGORY BALELLA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
4537 NEW FALLS RD, LEVITTOWN, PA 19056
(215) 945-0961
(215) 945-4978
Mailing address
4537 NEW FALLS RD, LEVITTOWN, PA 19056
(215) 945-0961
(215) 945-4978
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RP035744R
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1366532483
NPI NUMBER
PA
Enumeration date
08/24/2010
Last updated
08/24/2010
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