Individual
DR. JOHNYE BALLENGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
575 MOUNT AUBURN ST, WEST CAMBRIDGE PEDIATRIC & ADOLESCENT MEDICINE, CAMBRIDGE, MA 02138-4656
(617) 547-2093
(617) 492-1118
Mailing address
575 MOUNT AUBURN ST, WEST CAMBRIDGE PEDIATRIC & ADOLESCENT MEDICINE, CAMBRIDGE, MA 02138-4656
(617) 547-2093
(617) 492-1118
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
52968
MA
Other
Enumeration date
09/26/2006
Last updated
04/15/2009
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