Provider Demographics
NPI:1629133707
Name:BALIFF, JEFFREY PHILIP (MD)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:PHILIP
Last Name:BALIFF
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:132 SOUTH 10TH STREET
Mailing Address - Street 2:MAIN BUILDING, 2ND FLOOR - 285K
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19107-5244
Mailing Address - Country:US
Mailing Address - Phone:215-503-7822
Mailing Address - Fax:215-503-4817
Practice Address - Street 1:132 SOUTH 10TH STREET
Practice Address - Street 2:MAIN BUILDING, 2ND FLOOR - 285K
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19107-5244
Practice Address - Country:US
Practice Address - Phone:215-503-7822
Practice Address - Fax:215-503-4817
Is Sole Proprietor?:No
Enumeration Date:2006-12-27
Last Update Date:2014-12-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMT186480207ZP0102X
PAMD436201207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA102472756 0001Medicaid
NJ0232947Medicaid
PA185509Medicare PIN