Provider Demographics
NPI:1215076641
Name:BALAZS, RODICA (MD)
Entity type:Individual
Prefix:DR
First Name:RODICA
Middle Name:
Last Name:BALAZS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CINKA U.47
Mailing Address - Street 2:
Mailing Address - City:SZEKSZARD
Mailing Address - State:EUROPE
Mailing Address - Zip Code:7100
Mailing Address - Country:HU
Mailing Address - Phone:7-431-1314
Mailing Address - Fax:
Practice Address - Street 1:BUILDING 300
Practice Address - Street 2:DWIGHT D. EISENHOWER ARMY MEDICAL CENTER
Practice Address - City:FORT GORDON
Practice Address - State:GA
Practice Address - Zip Code:30905-5650
Practice Address - Country:US
Practice Address - Phone:706-787-5811
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA039042207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology