Individual
DR. CHRISTOPHER T BALLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
215 BACK NECK RD, BRIDGETON, NJ 08302-6834
(856) 451-4414
(856) 451-2052
Mailing address
215 BACK NECK ROAD, BRIDGETON, NJ 08302
(856) 451-4414
(856) 451-2052
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA06437400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7458908
—
NJ
Enumeration date
07/26/2006
Last updated
10/09/2024
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