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NPI Code Detail

MEDICARE: BHAVNA N BALAR M.D.

MEDICARE:   BHAVNA N BALAR  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
1207RG0100XGastroenterology Physician219532NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1336137322
Entity Type Code : Individual
Provider Name (Legal Business Name) : BHAVNA N BALAR M.D.
Provider Business Mailing Address
First Line : 161 TRUMAN DR
Second Line :
City : CRESSKILL
State : NJ
Zip : 07626-1709
Country : US
Telephone Number : 201-568-1243
Fax Number :
Provider Business Practice Location Address
First Line : 1650 GRAND CONCOURSE
Second Line :
City : BRONX
State : NY
Zip : 10457-7606
Country : US
Telephone Number : 718-518-5550
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2005
Last Update Date : 07/08/2007

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Directions to “ BHAVNA N BALAR M.D.” Practice Location

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