Individual
DR. RAJ BALLAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
98 JAMES ST, SUITE 300, EDISON, NJ 08820-3902
(732) 548-2523
(732) 549-8827
Mailing address
622 GEORGES RD, SUITE 303, NORTH BRUNSWICK, NJ 08902-3377
(732) 745-4994
(732) 745-7044
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MA65996
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7560605
—
NJ
Enumeration date
08/09/2005
Last updated
01/14/2010
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