Peter Eldredge Balsam MD

NPI 1063433159 - Internal Medicine - 207RG0100X

NPI Details
NPI 1063433159
Gender Male
Enumeration Date 07/22/2006
Last Updated 01/06/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
3870 PINETOP BLVD.
TITUSVILLE FL, 32796, US
Phone (321) 383-9152
Fax
Business Location
3870 PINETOP BLVD.
TITUSVILLE FL, 32796, US
Phone (321) 383-9152
Fax
Toxanomy
Taxonomy Code 207RG0100X
License State Florida
License Number ME0046070
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According to our database, Dr. Peter Eldredge Balsam MD NPI is 1063433159, taxonomy code is 207RG0100X and license number is ME0046070, license state is located at Florida. Peter Eldredge Balsam MD physically located at 3870 Pinetop Blvd., Titusville FL, 32796. NPI Number Peter Eldredge Balsam MD has the Individual type.

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1063433159 NPI number is provided on an as is basis without warranty of any kind. 1063433159 is maintained by the National Plan & Provider Enumeration System. The contents of Peter Eldredge Balsam MD are for informational purposes only.