Balceniuk, Mark

Balceniuk, Mark is an individual health care provider with primary practice located at 9501 Roosevelt Blvd Ste 312 , Philadelphia PA 19114-1028. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Balceniuk, Mark can be contacted via phone (215) 331-7001.

Contact Information

Primary practice address
9501 Roosevelt Blvd Ste 312 Philadelphia PA 19114-1028
Phone: (215) 331-7001
Fax: (215) 331-7004
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X MD481020 Pennsylvania

Profile Details

NPI number 1255725636
LBN Legal business name Balceniuk, Mark
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2015
Last updated Oct 31st, 2023 - about 2 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.

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