Joshua D Balog, M.D.
Internal Medicine, Clinical Cardiac Electrophysiology in Fair Lawn, NJ. Individual provider (NPI-1).
NPI number1508824566
StatusActive
Last updated in NPPESApr 28, 2022
Details
- NPI
- 1508824566
- Entity type
- Individual (NPI-1)
- Name
- Joshua D Balog
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 1, 2006
- Certification date
- Apr 28, 2022
- Last updated
- Apr 28, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RC0001X | Internal Medicine, Clinical Cardiac Electrophysiology | 25MA08816800 | NJ | Yes |
| 207R00000X | Internal Medicine | 227702 | MA | |
| 207RC0000X | Internal Medicine, Cardiovascular Disease | 25MA08816800 | NJ |
Practice location
22-18 Broadway Ste 102Fair Lawn, NJ 07410-3016
Phone 201-414-9766 · Fax 201-414-9751
Mailing address
22-18 Broadway Ste 201Fair Lawn, NJ 07410-3016
Phone 201-475-5050 · Fax 201-475-5522
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