Individual
MR. MATTHEW L BALANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
1389 W MAIN ST STE 205, WATERBURY, CT 06708-3115
(203) 755-7080
(203) 346-6244
Mailing address
1389 W MAIN ST STE 205, WATERBURY, CT 06708-3115
(203) 755-7080
(203) 346-6244
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5850
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008057928
—
CT
05
—
1356318091
—
CT
Enumeration date
09/08/2014
Last updated
04/25/2018
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