Charles Joseph Ballay II M.D.

NPI 1043306392 - Specialist - 174400000X

NPI Details
NPI 1043306392
Gender Male
Enumeration Date 10/05/2006
Last Updated 04/10/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
1111 MEDICAL CENTER BLVD
SUITE 707N
MARRERO LA, 70072-3148, US
Phone (504) 934-8550
Fax (504) 934-8549
Business Location
1111 MEDICAL CENTER BLVD
SUITE 707 N
MARRERO LA, 70072-3148, US
Phone (504) 934-8550
Fax (504) 934-8549
Toxanomy
Taxonomy Code 174400000X
License State California
License Number A94147
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According to our database, Charles Joseph Ballay II M.D. NPI is 1043306392, taxonomy code is 174400000X and license number is A94147, license state is located at California. Charles Joseph Ballay II M.D. physically located at 1111 Medical Center Blvd, Marrero LA, 70072-3148. NPI Number Charles Joseph Ballay II M.D. has the Individual type.

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1043306392 NPI number is provided on an as is basis without warranty of any kind. 1043306392 is maintained by the National Plan & Provider Enumeration System. The contents of Charles Joseph Ballay II M.D. are for informational purposes only.