Healthcare Provider Details

I. General information

NPI: 1629133707
Provider Name (Legal Business Name): JEFFREY PHILIP BALIFF MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/27/2006
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

180 SHEREE BLVD STE 2900
EXTON PA
19341-3200
US

IV. Provider business mailing address

180 SHEREE BLVD STE 2900
EXTON PA
19341-3200
US

V. Phone/Fax

Practice location:
  • Phone: 484-229-7200
  • Fax: 484-229-8329
Mailing address:
  • Phone: 484-229-7200
  • Fax: 484-229-8329

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License NumberMT186480
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License NumberMD436201
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: