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1053992750
ERIC THEODORE BALTA
ROCHESTER, NY
NPI
1053992750
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-04-15
Last Update Date
2021-04-15
Business Address
Dr. ERIC THEODORE BALTA MD
601 ELMWOOD AVE
ROCHESTER, NY 14642-0001
Phone number: 585-756-4800
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Mailing Address
Dr. ERIC THEODORE BALTA MD
601 ELMWOOD AVE
ROCHESTER, NY 14642-0001
Phone number: 585-756-4800
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