Balacco, Leonard Michael
Balacco, Leonard Michael is an individual health care provider with primary practice located at 108 Washington St , Hoboken NJ 07030-4659. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Balacco, Leonard Michael can be contacted via phone (201) 656-5688.Contact Information
Primary practice address
108 Washington St
Hoboken NJ 07030-4659
Phone: (201) 656-5688
Fax: (201) 656-8975
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MA41027 | New Jersey |
Profile Details
| NPI number | 1417994120 |
|---|---|
| LBN Legal business name | Balacco, Leonard Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2006 |
| Last updated | Oct 24th, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417994120 | NPPES |
| New Jersey | MEDICAID | 1469207 |
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