Individual
JOSEPH BALLARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2933 VAUXHALL RD, SUITE 28, VAUXHALL, NJ 07088-1260
(908) 687-1520
(908) 687-1989
Mailing address
PO BOX 416457, BOSTON, MA 02241-6457
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA56625
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4594401
—
NJ
Enumeration date
10/03/2006
Last updated
12/30/2014
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