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Individual

ASHA G. BALE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
90 BERGEN ST, DOC 7200, NEWARK, NJ 07103-2425
(973) 972-2540
(973) 972-2407
Mailing address
30 BERGEN ST, ADMC 12 1205, NEWARK, NJ 07107-3000

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
25MA06530800
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8288003
NJ
Enumeration date
10/02/2006
Last updated
08/20/2009
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