Individual
DR. MARC BALSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
201 S LIVINGSTON AVE, SUITE 2B, LIVINGSTON, NJ 07039-4043
(973) 994-1661
(973) 740-8899
Mailing address
201 S LIVINGSTON AVE, SUITE 2B, LIVINGSTON, NJ 07039-4043
(973) 994-1661
(973) 740-8899
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
22DI01293000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1174740567
ORGANIZATION
NJ
Enumeration date
03/18/2008
Last updated
03/18/2008
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