Search › Pennsylvania › 363A00000X
Justin Balliet, PA-C
NPI 1316427651 · on the registry since 2018
Practice
- Address
- 2000 Sproul Rd Ste 100
Broomall, PA 19008 - Phone
- (484) 337-5314
- Organisation at this address
- Ronald Rosenfeld, Md
Health Access Network
Stephen L Harlin Md Pc
Emmaus Home Incorporated
Maxine L. Young, Au.D., LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 29
Additional practice sites
- 1 Bartol Ave Ste 14, Ridley Park, PA
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-05-31
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