Juan R Ballesteros
M.D. | Pediatric Neonatal-Perinatal Medicine | Male
Juan R Ballesteros, M.D. is a Philadelphia, Pennsylvania based Pediatric doctor with medical specialization in
Pediatric Neonatal-Perinatal Medicine.
Current practice location of Juan R Ballesteros is
5501 Old York Rd Ste 3006, Philadelphia, Pennsylvania - 19141-3018. He can be contacted on phone at
215-456-6696 and fax number 215-456-6769.
Juan R Ballesteros is a sole proprietor of his business.
NPI number (Unique professional ID) for Juan R Ballesteros is
1114915139 which was assigned by NPPES on 13 Oct, 2005 and it was last updated on 16 Jul, 2021.
Juan R Ballesteros license number is
MD055998L for Pediatrics Neonatal-Perinatal Medicine (2080N0001X) in Pennsylvania.
Juan R Ballesteros is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Complete Profile:
Juan R Ballesteros basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Neonatal-Perinatal Medicine |
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| Provider Name : | Juan R Ballesteros |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Juan R Ballesteros address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 5501 Old York Rd Ste 3006
Philadelphia, PA, 19141-3018
United States |
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| Phone Number : | 215-456-6696 |
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| Fax Number : | 215-456-6769 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1114915139 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 13 Oct, 2005 |
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| Last Updated On : | 16 Jul, 2021 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Juan R Ballesteros are as mentioned. Primary taxonomy code for Juan R Ballesteros, M.D. is
2080N0001X (Pediatrics Neonatal-Perinatal Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080N0001X | Pediatrics Neonatal-Perinatal Medicine | Yes | MD055998L | PA |
Legacy Identifiers:
Other legacy medical identifiers of Juan R Ballesteros such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 001759708 | MEDICAID | PA | |
| 0017597080005 | MEDICAID | PA | |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
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3401 N BROAD ST,
PHILADELPHIA, PA, 19140-5103
United States | PHILADELPHIA, PA | 215-707-6606 |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 101 E Olney Ave Ste 400
Philadelphia, PA, 19120-2470
United States |
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| Phone Number : | 215-456-6696 |
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| Fax Number : | 215-456-6769 |
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Business Location:
Patients can refer following map for directions to
Juan R Ballesteros practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.