Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0129X | Vascular Surgeon | MD026052E | PA |
NPI | 1164466546 |
---|---|
Provider Name | James D Balshi |
First Address | Easton, PA 18045-8338 |
Second Address | Easton, PA 18045-8338 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/06/2006 |
Last Update Date | 10/04/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00961631 | (05) | PA |
C32059 | (02) |