BALLANTINES FABRIZIO ALEGRE

ERIE, PA
NPI1255847216
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: PA  OT018185)
Enumeration Date2017-12-28
Last Update Date2017-12-28
Business Address
BALLANTINES FABRIZIO ALEGRE DO
5515 PEACH ST
ERIE, PA 16509-2603
Phone number: 540-645-7114
Mailing Address
BALLANTINES FABRIZIO ALEGRE DO
5515 PEACH ST
ERIE, PA 16509-2603
Phone number: 540-645-7114