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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JOSHUA D BALOG, M.D.

Active

JOSHUA D BALOG, M.D. is a Clinical Cardiac Electrophysiology healthcare provider located in FAIR LAWN, New Jersey. NPI 1508824566 is currently active in the NPPES registry. Verify at CMS.

Clinical Cardiac Electrophysiology · FAIR LAWN, NJ

Registration Details

NPI Number
1508824566
Provider Type
Individual
Gender
Male
NPI Issued
May 1, 2006 (20.315788304013 yrs)
Last Updated
Apr 28, 2022
Licenses
227702 (MA)
25MA08816800 (NJ)
25MA08816800 (NJ)

Practice Information

Address
22-18 BROADWAY STE 102
FAIR LAWN, NJ, 074103016
Browse NJ providers · Browse ZIP 07410
Phone
2014149766
Fax
2014149751
Primary Specialty
Clinical Cardiac Electrophysiology
207RC0001X
Additional Specialty
Cardiovascular Disease
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.