Provider Demographics
NPI:1902492218
Name:BALOGH, PETER
Entity Type:Individual
Prefix:
First Name:PETER
Middle Name:
Last Name:BALOGH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 WILLARD ST APT 242
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27701-3288
Mailing Address - Country:US
Mailing Address - Phone:973-615-9081
Mailing Address - Fax:
Practice Address - Street 1:501 WILLARD ST APT 242
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27701-3288
Practice Address - Country:US
Practice Address - Phone:973-615-9081
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-21
Last Update Date:2020-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZB0301XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherBiomedical Engineering