Healthcare Provider Details

I. General information

NPI: 1083872493
Provider Name (Legal Business Name): ZARINE ROHINTON BALSARA MD/PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/02/2008
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 BOWMAN DR STE E360
VOORHEES NJ
08043-9603
US

IV. Provider business mailing address

46 LAKE VILLAGE DR
DURHAM NC
27713-8943
US

V. Phone/Fax

Practice location:
  • Phone: 856-751-7880
  • Fax: 856-751-9133
Mailing address:
  • Phone: 617-784-0851
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208800000X
TaxonomyUrology Physician
License NumberMD460542
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code2088P0231X
TaxonomyPediatric Urology Physician
License NumberMD460542
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: