Individual
DR. SHEFALI SUDHIR BALLAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
245 N 15TH ST, NEW COLLEGE BUILDING, DEPT OF PATHOLOGY, PHILADELPHIA, PA 19102-1101
(215) 762-7991
(215) 762-7002
Mailing address
2 SAINT MEENA AVE, MANAHAWKIN, NJ 08050-5600
(718) 887-4746
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
25MA09930100
NJ
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
25MA09930100
NJ
Other
Enumeration date
04/30/2013
Last updated
09/05/2019
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