Thomas Balitski OD

NPI 1003814559 - Optometrist - 152WC0802X

NPI Details
NPI 1003814559
Gender Male
Enumeration Date 07/08/2005
Last Updated 03/29/2012
Entity Type Individual
Active Over 12 years ago
Practice Location
3468 BRODHEAD RD
SUITE ONE
MONACA PA, 15061-3149, US
Phone (724) 775-2021
Fax (724) 775-2025
Business Location
3468 BRODHEAD RD
SUITE ONE
MONACA PA, 15061-3149, US
Phone (724) 775-2021
Fax (724) 775-2025
Toxanomy
Taxonomy Code 152WC0802X
License State Pennsylvania
License Number OEG000676
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According to our database, Dr. Thomas Balitski OD NPI is 1003814559, taxonomy code is 152WC0802X and license number is OEG000676, license state is located at Pennsylvania. Thomas Balitski OD physically located at 3468 Brodhead Rd, Monaca PA, 15061-3149. NPI Number Thomas Balitski OD has the Individual type.

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1003814559 NPI number is provided on an as is basis without warranty of any kind. 1003814559 is maintained by the National Plan & Provider Enumeration System. The contents of Thomas Balitski OD are for informational purposes only.