Individual
DR. BEENA S BALAKRISHNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
223 N VAN DIEN AVE, RIDGEWOOD, NJ 07450-2726
(201) 690-6122
Mailing address
PO BOX 422, HILLSDALE, NJ 07642-0422
(201) 690-6122
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
25MA07973200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0095265
—
NJ
Enumeration date
08/25/2006
Last updated
12/10/2010
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