Individual
EVA MARIE BALASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1153 CENTRE ST, STE 5G, JAMAICA PLAIN, MA 02130
(617) 522-2779
(617) 522-5698
Mailing address
1153 CENTRE ST, STE 5G, JAMAICA PLAIN, MA 02130
(617) 983-7324
(617) 983-7334
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
35713
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
035713
TUFTS
—
05
—
3045048
—
MA
01
—
4321
PILGRIM
—
Enumeration date
09/11/2006
Last updated
01/18/2017
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