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-- MARY BALANTIC -- RN

Individual Provider (NPI-1) Active

Registered Nurse

Provider Information

NPI Number
1730351313
Provider Type
Individual Provider (NPI-1)
Credentials
RN
Status
Active

Contact & Location

Address
5 N MAIN ST, ENFIELD, CT, 060823372
Phone
(860) 253-9024
Fax
(860) 253-9593

Specialties & Taxonomies

Registered Nurse Primary License: CT #084303

All Addresses

MAILING

635 MAIN ST ATTN: CREDENTIALING DPT

MIDDLETOWN, CT, 064572718

(860) 347-6971

LOCATION

5 N MAIN ST

ENFIELD, CT, 060823372

(860) 253-9024