Provider Demographics
NPI:1942272299
Name:BALK, JUDITH L (MD)
Entity Type:Individual
Prefix:DR
First Name:JUDITH
Middle Name:L
Last Name:BALK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1000 HIGBEE DR
Mailing Address - Street 2:SUITE 107
Mailing Address - City:BETHEL PARK
Mailing Address - State:PA
Mailing Address - Zip Code:15102-4200
Mailing Address - Country:US
Mailing Address - Phone:412-578-5539
Mailing Address - Fax:412-854-7142
Practice Address - Street 1:1000 HIGBEE DR
Practice Address - Street 2:SUITE 107
Practice Address - City:BETHEL PARK
Practice Address - State:PA
Practice Address - Zip Code:15102-4200
Practice Address - Country:US
Practice Address - Phone:412-578-5539
Practice Address - Fax:412-854-7142
Is Sole Proprietor?:No
Enumeration Date:2006-02-02
Last Update Date:2014-12-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD048881L207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001465389Medicaid
PA052362NHMMedicare PIN
PAF61015Medicare UPIN