Individual
MATTHEW BALLENBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
306174
NY
207R00000X
Internal Medicine Physician
73520
CT
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD19716
RI
207RP1001X
Pulmonary Disease Physician
Primary
MD19716
RI
207RS0012X
Sleep Medicine (Internal Medicine) Physician
MD19716
RI
Other
Enumeration date
03/20/2017
Last updated
05/30/2024
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