Organization
BALANCE MEDICAL PROFESSIONAL PRIMARY SERVICES PLLC
Active
Organization
BALANCE MEDICAL PROFESSIONAL PRIMARY SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAMON M TALLAJ 204704 (MD)
(212) 567-4918
Entity
Organization
Contact information
Practice address
1150 WEBSTER AVE., BRONX, NY 10456
(718) 975-1044
Mailing address
5030 BROADWAY, NEW YORK, NY 10034
(212) 567-4918
(212) 567-4957
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
09/16/2015
Last updated
09/16/2015
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