Individual
DR. FREDERICK L BALLET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5000 SAGEMORE DRIVE, SUITE 103, MARLTON, NJ 08053
(856) 983-4263
(856) 983-9362
Mailing address
7000 ATRIUM WAY, SUITE 6, MOUNT LAUREL, NJ 08054
(856) 206-4500
(856) 234-4241
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MA41767
NJ
2086S0105X
Surgery of the Hand (Surgery) Physician
Primary
MA41767
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001480000
AMERIHEALTH
NJ
01
—
0041165
GHI
NJ
01
—
010272400
KEYSTONE
NJ
01
—
1245286
UNITED HEALTHCARE
NJ
01
—
157009
GREAT WEST
NJ
01
—
2K1490
HEALTHNET
NJ
01
—
3733521B
CIGNA
NJ
01
—
4090690
AETNA
NJ
01
—
6567F02205
1STOPTION
NJ
01
—
BNS014
OXFORD
NJ
Enumeration date
10/02/2006
Last updated
02/24/2017
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