Individual
DR. MARSHALL SAMUEL BALISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD-PHD
Contact information
Practice address
WASHINGTON VA MEDICAL CTR, 50 IRVING ST., WASHINGTON, DC 20422-0001
(202) 745-8144
(202) 745-8231
Mailing address
11902 RENWOOD LN, ROCKVILLE, MD 20852-4343
(202) 745-8144
(202) 745-8231
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
19276
DC
2084N0600X
Clinical Neurophysiology Physician
19276
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0452770
—
DC
05
—
77472
—
MD
Enumeration date
09/29/2006
Last updated
12/23/2013
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