Search › Pennsylvania › 2080N0001X
Juan Ballesteros, M.D
NPI 1114915139 · on the registry since 2005
Practice
- Address
- 160 E Erie Ave
Philadelphia, PA 19134 - Phone
- (215) 427-5202
- Organisation at this address
- Stc Opco Llc
Stc Opco Llc
Tower Health
Stc Opco Llc
Stc Opco LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 494
Additional practice sites
- 3401 N Broad St, Philadelphia, PA
- 5501 Old York Rd Ste 3006, Philadelphia, PA
Registry record
- Primary taxonomy
- 2080N0001X
2080N0001X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-02-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania