Organization
HAND SURGERY & REHABILITATION CENTER OF NEW JERSEY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FREDERICK L. BALLET M.D. (PRESIDENT)
(856) 983-4263
Entity
Organization
Contact information
Practice address
5000 SAGEMORE DR, SUITE 103, MARLTON, NJ 08053-4307
(856) 983-4263
(856) 983-0674
Mailing address
5000 SAGEMORE DRIVE, SUITE 103, MARLTON, NJ 08053
(856) 983-4263
(856) 983-9362
Taxonomy
Speciality
Code
Description
License number
State
2086S0105X
Surgery of the Hand (Surgery) Physician
Primary
24019
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0201950001
MEDICARE NSC
NJ
01
—
0550440000
KEYSTONE GROUP NUMBER
NJ
01
—
34931
AETNA GROUP NUMBER
NJ
01
—
3733521B
CIGNA GROUP NUMBER
NJ
01
—
658819
HIGHMARK GROUP NUMBER
NJ
01
—
714037
HORIZON GROUP NUMBER
NJ
01
—
736734
UNITED HEALTH GROUP NUMBE
NJ
01
—
9661087
GHI GROUP NUMBER
NJ
01
—
IL2400
HEALTHNET GROUP NUMBER
NJ
Enumeration date
11/09/2006
Last updated
06/06/2014
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