Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jacqueline Michelle Soegaard Ballester, MD

Individual provider Surgery Physician · NPI 1902338767

Dr. Jacqueline Michelle Soegaard Ballester, MD is a Surgery Physician in Philadelphia, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2017
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3400 Spruce St Hospital Of The University Of Pennsylvania 4 Maloney
Philadelphia, PA 19104-4238
Phone: (787) 548-7440
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence MT213455 (PA)

Record details

NPI number1902338767
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 31, 2017
Last updated in NPPESSeptember 9, 2017

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