Juan R Ballesteros
Neonatal-Perinatal Doctor
5501 Old York Rd Ste 3006
Philadelphia
, Pennsylvania 19141-3018
Juan R Ballesteros
Neonatal-Perinatal Doctor
5501 Old York Rd Ste 3006
Philadelphia
, Pennsylvania 19141-3018
(215) 456-6769
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About
Features
Specialties
- Neonatal-Perinatal Doctor
Languages spoken
- English
Location
First Address
- Juan R Ballesteros
- 101 E Olney Ave Ste 400
- Philadelphia, PA
- Zip : 19120-2470
- Fax : (215) 456-6769
- Phone : (215) 456-6696
Second Address
- Juan R Ballesteros
- 5501 Old York Rd Ste 3006
- Philadelphia, PA
- Zip : 19141-3018
- Fax : (215) 456-6769
- Phone : (215) 456-6696
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080N0001X | Neonatal-Perinatal Doctor | MD055998L | PA |
National Provider Identifier
| NPI | 1114915139 |
|---|---|
| Provider Name | Juan R Ballesteros |
| First Address | Philadelphia, PA 19120-2470 |
| Second Address | Philadelphia, PA 19141-3018 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/10/2005 |
| Last Update Date | 16/07/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 001759708 | (05) | PA |
| 0017597080005 | (05) | PA |
| BU302Z | (02) | FL |
| G97997 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.