Organization
PAIN MANAGEMENT AND REHABILITATION, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GANESH R BALU M.D. (PRESIDENT)
(302) 734-7246
Entity
Organization
Contact information
Practice address
240 BEISER BLVD, SUITE 201B, DOVER, DE 19904-7790
(302) 734-7246
(302) 678-8890
Mailing address
71 HIDDEN VALLEY DR, NEWARK, DE 19711-7463
(302) 733-0507
(302) 733-7648
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Enumeration date
01/18/2007
Last updated
08/22/2020
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