Individual
DR. PRADEEP BALASUBRAMANIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.,
Contact information
Practice address
97 W PARKWAY, POMPTON PLAINS, NJ 07444-1647
(973) 831-5140
(973) 831-5318
Mailing address
PO BOX 411011, BOSTON, MA 02241-6457
(844) 362-1735
(973) 290-7495
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25MA10693000
NJ
207L00000X
Anesthesiology Physician
275367
NY
Other
Enumeration date
07/22/2010
Last updated
01/16/2023
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