Individual
GARTH HADDEN BALLANTYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20 PROSPECT AVE, SUITE 901, HACKENSACK, NJ 07601-1997
(201) 996-2959
(201) 996-3222
Mailing address
20 PROSPECT AVE, SUITE 901, HACKENSACK, NJ 07601-1997
(201) 996-2959
(201) 996-3222
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MA65505
NJ
208600000X
Surgery Physician
Primary
26835
CT
Other
Enumeration date
05/27/2006
Last updated
10/16/2015
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