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General NPI Number Information
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NPI Number | 1962504936
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Entity Type | Individual
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Provider Name | STEFAN BALAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/01/2006
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Last Update Date | 02/09/2026
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Provider Practice Location Address
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Address Line | 620 WASHINGTON ST STE 2130
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City | WINCHESTER
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State | MA
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Zip | 01890-1328
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Country | US
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Telephone | 781-750-5000
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Fax | 781-750-5300
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Provider Business Mailing Address
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Address Line | 146 HICKORY RD
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City | UNION
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State | NJ
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Zip | 07083-6407
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Country | US
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Telephone | 917-887-5113
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 254898
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License Number State | MA
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