Individual
DR. RAVINDER N BHALLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
65 N MAPLE AVE, RIDGEWOOD, NJ 07450-3233
(201) 652-4999
(973) 471-1630
Mailing address
65 N MAPLE AVE, RIDGEWOOD, NJ 07450-3233
(201) 652-4999
(973) 471-1630
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
25MA04911600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5083508
—
NJ
Enumeration date
07/26/2006
Last updated
04/26/2016
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