Healthcare Provider Details

I. General information

NPI: 1699640342
Provider Name (Legal Business Name): THE SALLY BALIN MEDICAL CENTER AMBULATORY SURGICAL CENTER PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2025
Last Update Date: 10/10/2025
Certification Date: 10/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 CHESLEY DR
MEDIA PA
19063-1755
US

IV. Provider business mailing address

110 CHESLEY DR
MEDIA PA
19063-1755
US

V. Phone/Fax

Practice location:
  • Phone: 610-565-3300
  • Fax: 610-565-9909
Mailing address:
  • Phone: 610-565-3300
  • Fax: 610-565-9909

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ND0101X
TaxonomyMOHS-Micrographic Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207NS0135X
TaxonomyProcedural Dermatology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ARTHUR KIRSNER BALIN
Title or Position: OWNER
Credential: MD, PHD
Phone: 610-389-1667