Individual
BALAISHE BOAKAI BALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1600 HADDON AVE FL 3, CAMDEN, NJ 08103-3101
(856) 988-6260
(856) 988-6270
Mailing address
301 LIPPINCOTT DR STE 410, MARLTON, NJ 08053-4197
(856) 988-6260
(856) 988-6270
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
147728
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
26NJ15034400
NJ
Other
Enumeration date
02/26/2024
Last updated
01/14/2025
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