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Individual

DR. ELSAID BALBOUL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
508 HAMBURG TPKE, SUITE 201, WAYNE, NJ 07470-8482
(973) 942-1340
(973) 942-1360
Mailing address
508 HAMBURG TPKE, SUITE 201, WAYNE, NJ 07470-8482
(973) 942-1340
(973) 942-1360

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA59362
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9056301
NJ
Enumeration date
03/14/2006
Last updated
01/23/2008
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