Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 125.057652 | IL |
N | 207X00000X | Orthopaedic Surgeon | 2015-00360 | NC |
N | 207XS0117X | Orthopaedic Spine Surgeon | 036.141462 | IL |
Y | 207XS0117X | Orthopaedic Spine Surgeon | ME132405 | FL |
NPI | 1356661680 |
---|---|
Provider Name | Daniel Alexander Baluch |
First Address | Boynton Beach, FL 33435-7944 |
Second Address | Boynton Beach, FL 33435-7944 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2010 |
Last Update Date | 27/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1356661680 | (05) | NC |
NC2392 | (05) | SC |