Leora Beth Balsam in Worcester - Thoracic Surgery (cardiothoracic Vascular Surgery)

Leora Beth Balsam - NPI 1083800585

Leora Beth Balsam is a Thoracic Surgery (cardiothoracic Vascular Surgery) in Worcester, Massachusetts. Leora Beth Balsam practices all healthcare services and medical treatments related to Thoracic Surgery (cardiothoracic Vascular Surgery). The NPI Number for Leora Beth Balsam is 1083800585. The last update date is 2020-11-02.

Leora Beth Balsam's current location address is 55 Lake Avenue North, Worcester, Massachusetts. You can contact this provider via phone number 5083342577 and fax number 5083347284. The mailing address for Leora Beth Balsam is 55 Lake Avenue North, Worcester, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name Leora Beth Balsam
Address 55 Lake Avenue North, Worcester, Massachusetts
Phone Number 5083342577
Fax Number 5083347284
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1083800585
Provider Enumeration Date 2007-09-18
Last Updated Date 2020-11-02

Provider Mailing Address Detail

Address 55 Lake Avenue North
City Worcester
State Massachusetts (MA)
Post Code 16550001
Phone Number 5083342577
Fax Number 5083347284

Provider's Primary Taxonomy Detail

Speciality Thoracic Surgery (cardiothoracic Vascular Surgery)
Taxonomy 208G00000X
Licence No 248717-1
Definition:
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
00A869820 CA --

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FAQs about Leora Beth Balsam

What is the unique identification code assigned to Leora Beth Balsam by the Centers for Medicare & Medicaid Services?

The Leora Beth Balsam has been issued the NPI (National Provider Identifier) 1083800585. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Leora Beth Balsam's facilities are geographically located?

The facilities of Leora Beth Balsam are physically situated at the following location: 55 Lake Avenue North, Worcester, MA, 16550001.

What is Leora Beth Balsam's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Leora Beth Balsam is Thoracic Surgery (cardiothoracic Vascular Surgery), and the corresponding taxonomy classification code for this specialized field is 208G00000X.

On what date did Leora Beth Balsam receive its 1083800585 assignment from the Centers for Medicare & Medicaid Services?

The Leora Beth Balsam was assigned its 1083800585 on 2007-09-18, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the Leora Beth Balsam's details last updated?

The information pertaining to the Leora Beth Balsam, including its address, specialty, and other details, was most recently updated on 2020-11-02.

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