Individual
MR. REGINALD BALBIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
600 NEWARK AVE, ELIZABETH, NJ 07208-3539
(908) 353-7443
Mailing address
29 BROAD TER, BLOOMFIELD, NJ 07003-2725
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26NP06973500
NJ
Other
Enumeration date
11/08/2023
Last updated
11/08/2023
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