Individual
PAUL BALLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4641 ROOSEVELT BLVD, PHILADELPHIA, PA 19124-2343
(215) 831-7935
Mailing address
4641 ROOSEVELT BLVD, PHILADELPHIA, PA 19124-2343
(215) 831-7935
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
OS013706
PA
Other
Enumeration date
01/30/2007
Last updated
05/28/2021
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