MEDICARE: GRACE B BIALY M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	MA41147	NJ

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
7	390007800	OTHER	NJ	R R MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000197698	OTHER	NJ	HIGHMARK BLUE SHIELD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	1K7072	OTHER	NJ	HEALTH NET
4	3997131000	OTHER	NJ	CIGNA
5	0355213000	OTHER	NJ	AMERIHEALTH
6	3134040	OTHER	NJ	AETNA

General Provider Information

NPI Number	:	1427002351
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GRACE B BIALY M.D.

Provider Business Mailing Address
First Line	:	88 PRINCETON HIGHTSTOWN RD
Second Line	:	SUITE 203
City	:	PRINCETON JUNCTION
State	:	NJ
Zip	:	08550-1100
Country	:	US
Telephone Number	:	609-750-7330
Fax Number	:	609-750-7336

Provider Business Practice Location Address
First Line	:	88 PRINCETON HIGHTSTOWN RD
Second Line	:	SUITE 203
City	:	PRINCETON JUNCTION
State	:	NJ
Zip	:	08550-1100
Country	:	US
Telephone Number	:	609-750-7330
Fax Number	:	609-750-7336

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/22/2006
Last Update Date	:	11/09/2010

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Directions to “ GRACE B BIALY M.D.” Practice Location

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