Edgar Henry Ballenas M.D.

NPI 1023192291 - General Acute Care Hospital - 282NR1301X

NPI Details
NPI 1023192291
Gender Male
Enumeration Date 10/25/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
275 SANDWICH ST
PLYMOUTH MA, 02360-2183, US
Phone (508) 830-2800
Fax
Business Location
198 CHURCH ST
MARSHFIELD MA, 02050-1710, US
Phone
Fax
Toxanomy
Taxonomy Code 282NR1301X
License State Massachusetts
License Number 71683
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According to our database, Dr. Edgar Henry Ballenas M.D. NPI is 1023192291, taxonomy code is 282NR1301X and license number is 71683, license state is located at Massachusetts. Edgar Henry Ballenas M.D. physically located at 275 Sandwich St, Plymouth MA, 02360-2183. NPI Number Edgar Henry Ballenas M.D. has the Individual type.

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1023192291 NPI number is provided on an as is basis without warranty of any kind. 1023192291 is maintained by the National Plan & Provider Enumeration System. The contents of Edgar Henry Ballenas M.D. are for informational purposes only.