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Individual

JOSHUA D BALOG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
22-18 BROADWAY STE 102, FAIR LAWN, NJ 07410-3016
(201) 414-9766
(201) 414-9751
Mailing address
22-18 BROADWAY STE 201, FAIR LAWN, NJ 07410-3016
(201) 475-5050
(201) 475-5522

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
227702
MA
207RC0000X
Cardiovascular Disease Physician
25MA08816800
NJ
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
25MA08816800
NJ

Other

Enumeration date
05/01/2006
Last updated
04/28/2022
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