Organization
NEW JERSEY LAPROSCOPIC ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RV BALLEM (OWNER)
(973) 744-8585
Entity
Organization
Contact information
Practice address
230 SHERMAN AVE, GLEN RIDGE, NJ 07028-1529
(973) 744-8585
Mailing address
230 SHERMAN AVE, GLEN RIDGE, NJ 07028-1529
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
09/14/2011
Last updated
09/14/2011
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