Individual
JOSEPH PATRICK ELTANAL BALAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, CRNP
Contact information
Practice address
1800 ORLEANS ST, ZAYED TOWER, SUITE 7125-L, BALTIMORE, MD 21287-0010
(410) 502-2533
(410) 630-7491
Mailing address
1800 ORLEANS ST, ZAYED TOWER, SUITE 7125-L, BALTIMORE, MD 21287-0010
(410) 502-2533
(410) 630-7491
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
R165241
MD
363LG0600X
Gerontology Nurse Practitioner
R165241
MD
Other
Enumeration date
12/07/2015
Last updated
12/07/2015
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