Organization
FIRST STATE IMAGING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GANESH R BALU (PRESIDENT)
(302) 734-7246
Entity
Organization
Contact information
Practice address
240 BEISER BLVD, SUITE 201C, DOVER, DE 19904-7790
(302) 734-7246
(302) 678-8890
Mailing address
71 HIDDEN VALLEY DR, NEWARK, DE 19711-7463
(302) 734-7246
(302) 678-8890
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
—
—
Other
Enumeration date
01/23/2007
Last updated
08/22/2020
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