Individual
DR. STANLEY RICHARD BALON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
20 CUMBERLAND HILL RD UNIT 202, WOONSOCKET, RI 02895-4854
(401) 488-4003
(014) 884-4744
Mailing address
20 CUMBERLAND HILL RD UNIT 202, WOONSOCKET, RI 02895-4854
(401) 488-4003
(401) 488-4474
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
05801
RI
207R00000X
Internal Medicine Physician
Primary
5801
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9001130
—
RI
Enumeration date
05/21/2006
Last updated
09/20/2024
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