Balsam, Leora Beth

Balsam, Leora Beth is an individual health care provider with primary practice located at 55 Lake Avenue North Department Of Surgery, Worcester MA 01655-0001. She recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as her primary health care specialty. Balsam, Leora Beth can be contacted via phone (508) 334-2577.

Contact Information

Primary practice address
55 Lake Avenue North Department Of Surgery Worcester MA 01655-0001
Phone: (508) 334-2577
Fax: (508) 334-7284
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 248717-1 New York
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X A69615 California
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 273202 Massachusetts

Profile Details

NPI number 1083800585
LBN Legal business name Balsam, Leora Beth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 18th, 2007
Last updated Nov 2nd, 2020 - about 4 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 1083800585 NPPES
California MEDICAID 00A869820

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