Paul J Balzer, MD

Primary specialty

Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X

Legal business name

PAUL J BALZER, MD

Practice address

49 Pineland Dr
Suite 302a
New Gloucester, ME 04260-5119

Phone

(207) 681-8100

Fax

(207) 681-8102

NPI assigned

Oct 11, 2007

Last updated

Oct 11, 2007By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Paul J Balzer, MDNPI 1295719391

Title

Owner Provider

Phone

(207) 681-8100

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Paul James Balzer Jr., MD

  • Family Medicine Physician
  • Auburn, ME
  • NPI 1295719391
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192060800000",
    "number": "1518155969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 PINELAND DR",
            "address_2": "SUITE 302A",
            "city": "NEW GLOUCESTER",
            "state": "ME",
            "postal_code": "042605119",
            "telephone_number": "207-681-8100",
            "fax_number": "207-681-8102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 PINELAND DR",
            "address_2": "SUITE 302A",
            "city": "NEW GLOUCESTER",
            "state": "ME",
            "postal_code": "042605119",
            "telephone_number": "207-681-8100",
            "fax_number": "207-681-8102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL J BALZER, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-11",
        "last_updated": "2007-10-11",
        "status": "A",
        "authorized_official_last_name": "BALZER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER PROVIDER",
        "authorized_official_telephone_number": "207-681-8100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Addiction Medicine (Family Medicine) Physician in New Gloucester, ME
• Providers in New Gloucester, ME by specialty
• Addiction Medicine (Family Medicine) Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.