Individual
NELSON ANGELO BALLESTEROS VILLANUEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
381 TEANECK RD, TEANECK, NJ 07666-4069
(201) 366-9817
Mailing address
99 OAK ST, TEANECK, NJ 07666-3828
(201) 888-0741
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
25MP00930100
NJ
Other
Enumeration date
05/20/2025
Last updated
05/21/2025
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