SAMSON BALLESTEROS

PARMA, OH
NPI1548350978
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: OH  35053718)
Enumeration Date2006-10-14
Last Update Date2018-04-04
Business Address
SAMSON BALLESTEROS M.D.
5850 RIDGE RD
PARMA, OH 44129-3166
Phone number: 440-530-5117
Mailing Address
SAMSON BALLESTEROS M.D.
PO BOX 770502
LAKEWOOD, OH 44107-0027
Phone number: 440-930-0609