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

DR. DOUGLAS A. BALLAN, MD

Active Sole Proprietor

DR. DOUGLAS A. BALLAN, MD is a Family Medicine healthcare provider located in FANWOOD, New Jersey. NPI 1508893199 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · FANWOOD, NJ

Registration Details

NPI Number
1508893199
Provider Type
Individual
Gender
Male
NPI Issued
Jun 27, 2006 (19.98708513085 yrs)
Last Updated
Sep 6, 2011
License
MA57331 (NJ)
Sole Proprietor
Yes

Practice Information

Address
45 ELM AVE
THIS IS DOCTOR'S HOME; THERE IS NO OFFICE.
FANWOOD, NJ, 070231203
Browse NJ providers · Browse ZIP 07023
Phone
9082793477
Fax
9083456111
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in FANWOOD, NJ

Name Credential NPI
DR. JOSEPH A SCALIA DO 1346257508
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.