Individual provider · NPI-1

Ballantines Fabrizio Alegre, DO

Family Medicine · Erie, PA

NPI number1255847216
StatusActive
Last updated in NPPESDec 28, 2017

Details

NPI
1255847216
Entity type
Individual (NPI-1)
Name
Ballantines Fabrizio Alegre
Credential
DO
Sex
Male
Sole proprietor
No
Enumeration date
Dec 28, 2017
Last updated
Dec 28, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineOT018185PAYes

Practice location

5515 Peach St
Erie, PA 16509-2603

Phone 540-645-7114 · Fax 540-645-7114

Mailing address

5515 Peach St
Erie, PA 16509-2603

Phone 540-645-7114

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