Provider Demographics
NPI:1861492415
Name:BALIN, ARTHUR KIRSNER (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:KIRSNER
Last Name:BALIN
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 CHESLEY DR
Mailing Address - Street 2:
Mailing Address - City:MEDIA
Mailing Address - State:PA
Mailing Address - Zip Code:19063-1755
Mailing Address - Country:US
Mailing Address - Phone:610-565-3300
Mailing Address - Fax:610-565-9909
Practice Address - Street 1:110 CHESLEY DR
Practice Address - Street 2:
Practice Address - City:MEDIA
Practice Address - State:PA
Practice Address - Zip Code:19063-1755
Practice Address - Country:US
Practice Address - Phone:610-565-3300
Practice Address - Fax:610-565-9909
Is Sole Proprietor?:No
Enumeration Date:2005-07-26
Last Update Date:2012-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1462051207N00000X
CT020728207N00000X
PAMD019908E207ND0101X, 207ND0900X, 207NS0135X, 207R00000X, 207ZD0900X
TXH6769207ND0101X
MDD0064913207N00000X
DEC1-0008066207N00000X
PAPAK000066171100000X
PA001240207NI0002X
PA09421500207NS0135X, 208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207NS0135XAllopathic & Osteopathic PhysiciansDermatologyProcedural Dermatology
No207N00000XAllopathic & Osteopathic PhysiciansDermatology
No207ND0101XAllopathic & Osteopathic PhysiciansDermatologyMOHS-Micrographic Surgery
No207ND0900XAllopathic & Osteopathic PhysiciansDermatologyDermatopathology
No171100000XOther Service ProvidersAcupuncturist
No207NI0002XAllopathic & Osteopathic PhysiciansDermatologyClinical & Laboratory Dermatological Immunology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207ZD0900XAllopathic & Osteopathic PhysiciansPathologyDermatopathology
No208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAB77832Medicare UPIN
PA138722Medicare ID - Type Unspecified