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NPI Code Detail

MEDICARE: MS. ELENA BALLEZZI MA CCC-A

MEDICARE:  MS. ELENA  BALLEZZI  MA CCC-A
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
1237600000XAudiologist-Hearing Aid Fitter41YA00068500NJ

General Provider Information

NPI Number : 1427279702
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ELENA BALLEZZI MA CCC-A
Provider Business Mailing Address
First Line : 726 SEDGEWICK CT
Second Line :
City : SEWELL
State : NJ
Zip : 08080-2521
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1920 CHESTNUT ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19103-4634
Country : US
Telephone Number : 215-561-0550
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2007
Last Update Date : 12/22/2008

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Directions to “ MS. ELENA BALLEZZI MA CCC-A” Practice Location

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