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Individual

DR. MALUR R BALAJI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD. FACS

Contact information

Practice address
ONE MEDICAL CENTER BLVD, ACP, SUITE 233, CHESTER, PA 19013-3902
(610) 499-0400
(610) 499-1970
Mailing address
ONE MEDICAL CENTER BLVD, ACP, SUITE 233, CHESTER, PA 19013-3902
(610) 499-0400
(610) 499-1970

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
124377
NY
2086S0129X
Vascular Surgery Physician
Primary
MD447516
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00446135
NY
01
100722FP
PREFFERDCARE
NY
01
PO10124377
BLUECROSS AND BLUE SHEILD
NY
Enumeration date
04/26/2006
Last updated
10/15/2014
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