Organization
EDWARD S. BALLIS, M.D.
Active
Other names
BALLIS PSYCHIATRIC ASSOCIATES
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NU SANTANIELLO (ADMINISTRATIVE ASSISTANT)
(413) 568-2811
Entity
Organization
Contact information
Practice address
115 W SILVER ST, WESTFIELD, MA 01085-3628
(413) 568-2811
(413) 572-5192
Mailing address
PO BOX 519, WESTFIELD, MA 01086-0519
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
76517
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10418
HEALTH NEW ENGLAND
MA
Enumeration date
06/15/2007
Last updated
07/17/2007
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