Individual
DR. RAMAMOHANARAO V BALLEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
230 SHERMAN AVE, SUITE C, GLEN RIDGE, NJ 07028-1529
(973) 744-8585
(973) 748-5990
Mailing address
230 SHERMAN AVE, SUITE C, GLEN RIDGE, NJ 07028-1529
(973) 744-8585
(973) 748-5990
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
25MA03474100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1839403
—
NJ
Enumeration date
10/23/2006
Last updated
07/08/2007
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