Organization
HOUSE CALLS OF NJ
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS BALLAN (SOLE PROPRIETOR)
(908) 279-3477
Entity
Organization
Contact information
Practice address
45 ELM AVE, FANWOOD, NJ 07023-1203
(908) 279-3477
(908) 345-6111
Mailing address
PO BOX 122, SCOTCH PLAINS, NJ 07076-0122
(908) 279-3477
(908) 345-6111
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA05733100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0400245440
NJ CORPORATE ID#
NJ
Enumeration date
10/25/2008
Last updated
01/24/2012
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