Individual
DAVID A BALLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
98 SHAKER RD, EAST LONGMEADOW, MA 01028-2731
(413) 525-1554
(413) 525-7764
Mailing address
TRINITY HEALTH OF NE MED GRP - ATTN: PGREANEY, 395 SOUTHAMPTON RD., #100, WESTFIELD, MA 01085-1324
(413) 485-4663
(413) 562-1605
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
36805
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
702509
TUFTS
—
01
—
N51639
BCBS
MA
Enumeration date
11/21/2006
Last updated
10/18/2018
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