| NPI | 1972781250 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL C BALOGA, DPM,PC Owner Dr 570-654-4371 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: PA SC003071L) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: PA SC003071L) |
| Enumeration Date | 2008-02-08 |
| Last Update Date | 2014-01-13 |