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Individual

DR. DANIEL JONATHAN BAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
75 HOLLY HILL LN FL 2, GREENWICH, CT 06830
(203) 869-6960
Mailing address
75 HOLLY HILL LN FL 2, GREENWICH, CT 06830-2917
(203) 869-6960

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
60170
CT

Other

Enumeration date
04/16/2013
Last updated
02/05/2019
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