Balcer, Laura J

Balcer, Laura J is an individual health care provider with primary practice located at 3400 Spruce St 2 Ravdin, Philadelphia PA 19104. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Balcer, Laura J can be contacted via phone (215) 662-3606.

Contact Information

Primary practice address
3400 Spruce St 2 Ravdin Philadelphia PA 19104
Fax: (215) 349-5579
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X MD051344L Pennsylvania

Profile Details

NPI number 1902838121
LBN Legal business name Balcer, Laura J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Feb 22nd, 2021 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1902838121 NPPES
Pennsylvania MEDICAID 0015923630002

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