Individual
DR. IGOR BALATSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 TRENTON ROAD, BROWNS MILLS, NJ 08015
(609) 893-6611
(321) 434-1775
Mailing address
200 TRENTON ROAD, BROWNS MILLS, NJ 08015
(609) 893-6611
(321) 259-0635
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
228787
NY
207R00000X
Internal Medicine Physician
ME105590
FL
208M00000X
Hospitalist Physician
Primary
25MA09309900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001472700
—
FL
05
—
02555044
—
NY
05
—
0365688
—
NJ
Enumeration date
07/29/2005
Last updated
10/17/2022
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