Organization
EVA M. BALASH, MD
Active
Other names
Boston Family Dermatology
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EVA M BALASH M.D. (OWNER)
(617) 522-2779
Entity
Organization
Contact information
Practice address
1153 CENTRE ST, SUITE 5990, JAMAICA PLAIN, MA 02130-3446
(617) 522-2779
(617) 522-5698
Mailing address
1153 CENTRE ST, SUITE 5990, JAMAICA PLAIN, MA 02130-3446
(617) 522-2779
(617) 522-5698
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
35713
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9768173
—
MA
01
—
B15499
BLUE SHIELD
MA
Enumeration date
05/23/2007
Last updated
12/04/2008
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