| Doctor Name: | DR. MICHAEL C BALOGA |
| NPI Number: | 1679666580 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPM, PC |
| License Number: | SC003071L |
| Business Practice Address: | 810 Wyoming Ave West Pittston, PA - 186432741 |
| Business Phone Number: | 5706544371 |
| Business Fax Number: | 5706540455 |
| Mailing Address: | 810 Wyoming Ave, WEST PITTSTON |
| State: | PA |
| Postal Code: | 186432741 |
| Phone Number: | 5706544371 |
| Fax Number: | 5706540455 |
| NPI Enumeration Date: | 10/02/2006 |
| NPI Last Update Date: | 01/13/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | SC003071L |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |