Individual
AHMAD BALLOUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 COOPER PLZ, CAMDEN, NJ 08103-1461
(856) 342-2000
Mailing address
1 FEDERAL ST STE 200, CAMDEN, NJ 08103-1088
(848) 288-6935
(732) 790-0107
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
25MA12056900
NJ
207T00000X
Neurological Surgery Physician
84743
CT
2084N0400X
Neurology Physician
25MA12056900
NJ
2084N0400X
Neurology Physician
Primary
84743
CT
2084V0102X
Vascular Neurology Physician
25MA12056900
NJ
Other
Enumeration date
04/15/2018
Last updated
05/04/2026
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