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Contact Information

THOMAS M BALESTRERI, MD
1211 24TH ST
ANACORTES, WA98233
 Phone: 360-293-3181
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for THOMAS M BALESTRERI · (Male)

NPI # 1093807117
Status Active
Credentials MD
Entity Individual
Enumeration date 09/28/2006
Last updated 01/08/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • WA License # MD00035338
  • WA Medicaid 1105717
  • WA Other 0123267 DLI
  • WA Other 36350 REGENCE BS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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