Individual
GAMALIEL P BATALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7337 CARITAS CIRLE NW, MASSILLON, OH 44646
(330) 830-6110
Mailing address
PO BOX 951103, CLEVELAND, OH 44193-0008
(330) 489-1074
(330) 489-1281
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
MD427683
PA
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
35.096379
OH
208VP0000X
Pain Medicine Physician
MD437683
PA
208VP0014X
Interventional Pain Medicine Physician
51050
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1812107000
—
WV
Enumeration date
11/10/2006
Last updated
01/14/2019
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