Organization · NPI-2

Bala Medical, INC

Internal Medicine · Bala Cynwyd, PA

NPI number1881879294
StatusActive
Last updated in NPPESFeb 13, 2008

Details

NPI
1881879294
Entity type
Organization (NPI-2)
Legal business name
Bala Medical, INC
Organization subpart
No
Enumeration date
Jan 3, 2008
Last updated
Feb 13, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal MedicineMD067863LPAYes
207Q00000X Family MedicineMD067862LPA

Other names

  • Bala Medical Associates (Doing Business As)

Practice location

2 Bala Plz
Suite Pl-08
Bala Cynwyd, PA 19004-1501

Phone 610-667-1115 · Fax 610-667-8008

Mailing address

1055 Cherry Hill Rd
Princeton, NJ 08540-7723

Phone 908-208-4715

Authorized official

Akbar Khan
President
9082084715

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