Individual
MARIA THERESA ALVAREZ-BALLWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
150 BERGEN ST, PEDIATRIC E.R, NEWARK, NJ 07103-2496
(973) 972-5139
(973) 972-5965
Mailing address
30 BERGEN ST, ADMC 12 1205, NEWARK, NJ 07107-3000
Taxonomy
Speciality
Code
Description
License number
State
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
25MA05778100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6604609
—
NJ
Enumeration date
04/19/2007
Last updated
04/30/2019
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