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:
Health care specialties
| Specialty | Code | License # | 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 6 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 | 1083800585 | NPPES |
| California | MEDICAID | 00A869820 |
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