Individual
EDWARD LEE BALABAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1175 DICKINSON ST, SPRINGFIELD, MA 01108-3143
(413) 244-8033
Mailing address
1175 DICKINSON ST, SPRINGFIELD, MA 01108-3143
(413) 244-8033
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
028942
CT
2084P0800X
Psychiatry Physician
Primary
159928
NY
Other
Enumeration date
08/25/2006
Last updated
06/10/2014
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