Organization
COMPREHENSIVE SPINE CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GANESH R BALU MD (PRESIDENT)
(302) 312-3809
Entity
Organization
Contact information
Practice address
240 BEISER BLVD, SUITE 202A, DOVER, DE 19904-8208
(302) 734-0300
(302) 734-9300
Mailing address
240 BEISER BLVD, SUITE 202A, DOVER, DE 19904-8208
(302) 734-0300
(302) 734-9300
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
F1-0000706
DE
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
C-10005467
DE
Other
Enumeration date
11/19/2008
Last updated
11/19/2008
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