Individual
ABRAHAM BALLAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1 W BOYLSTON ST, SUITE 206, WORCESTER, MA 01605-1265
(508) 854-2636
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
252550
MA
Other
Enumeration date
10/24/2008
Last updated
11/05/2020
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