Active NPIIndividual provider

Dr. Leora B Balsam, MD

Thoracic Surgery (Cardiothoracic Vascular Surgery) in Worcester, Massachusetts

NPI Number1083800585
Practice location
55 Lake Avenue North, Department Of Surgery, Worcester, MA 01655-0001
Fax
508-334-7284
Last updated
November 2, 2020

Leora Beth Balsam is a Thoracic Surgery (Cardiothoracic Vascular Surgery) based in Worcester, MA. Leora Beth Balsam practices in Worcester, MA and has the professional credentials of MD. The NPI Number for Leora Beth Balsam is 1083800585 and holds a License No. 248717-1 (NY). The current practice location address for Leora Beth Balsam is 55 Lake Avenue North, Department Of Surgery, Worcester, MA 01655-0001 and can be reached out via phone at 508-334-2577 and via fax at 508-334-7284.

Provider Profile Details

NPI Number
1083800585
Provider Name
Leora Beth Balsam
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
55 Lake Avenue North, Department Of Surgery, Worcester, MA 01655-0001
Phone Number
508-334-2577
Fax Number
508-334-7284
Sole Proprietor
No
Provider Enumeration Date
September 18, 2007
Last Update Date
November 2, 2020
Certification Date
November 2, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
55 Lake Avenue North
Department Of Surgery
Worcester, MA 01655-0001
Zip
01655-0001
Phone Number
508-334-2577
Fax Number
508-334-7284
Worcester, MA 01655Get directions →

Provider Business Mailing Address Details

Address
Po Box 415348
Boston, MA 02241-5348
City
Boston
State
MA
Zip
02241-5348

License Information

License Number (1)
248717-1
License State (1)
NY
License Number (2)
A69615
License State (2)
CA
License Number (3)
273202
License State (3)
MA
Taxonomy (3)
Thoracic Surgery (Cardiothoracic Vascular Surgery) · 208G00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Thoracic Surgery (Cardiothoracic Vascular Surgery) providers near Worcester, MA

View all Thoracic Surgery (Cardiothoracic Vascular Surgery) providers in Worcester →

Frequently Asked Questions

What is the NPI number of Dr. Leora B Balsam, MD?

The NPI number of Dr. Leora B Balsam, MD is 1083800585. It was assigned on September 18, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Leora B Balsam, MD?

Dr. Leora B Balsam, MD is registered under the primary taxonomy Thoracic Surgery (Cardiothoracic Vascular Surgery) (code 208G00000X), licensed in NY under license number 248717-1.

Where does Dr. Leora B Balsam, MD practice?

The practice location is 55 Lake Avenue North, Department Of Surgery, Worcester, MA 01655-0001. The office can be reached at 508-334-2577 (phone) or 508-334-7284 (fax).

What is an NPI number?

A National Provider Identifier (NPI) 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). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1083800585 directly on the NPPES registry website.

Browse related providers