Individual
DR. EDGAR HENRY BALLENAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
275 SANDWICH ST, PLYMOUTH, MA 02360-2183
(508) 830-2800
Mailing address
198 CHURCH ST, MARSHFIELD, MA 02050-1710
Taxonomy
Speciality
Code
Description
License number
State
282NR1301X
Rural Acute Care Hospital
Primary
71683
MA
Other
Enumeration date
10/25/2006
Last updated
07/08/2007
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