Organization · NPI-2

"dundeva-Balev",llc

Internal Medicine, Rheumatology · Ewing, NJ

NPI number1912296278
StatusActive
Last updated in NPPESFeb 8, 2012

Details

NPI
1912296278
Entity type
Organization (NPI-2)
Legal business name
"dundeva-Balev",llc
Organization subpart
No
Enumeration date
Apr 6, 2011
Last updated
Feb 8, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RR0500X Internal Medicine, Rheumatology25MA08452900NJYes

Other names

  • Ewing Rheumatology (Other Name)

Practice location

1901 N Olden Avenue Ext
Suite 13a
Ewing, NJ 08618-2111

Phone 609-883-1171 · Fax 609-883-7777

Mailing address

14 Millbrook Ln
Lawrenceville, NJ 08648-3630

Phone 609-883-1211 · Fax 609-883-7777

Authorized official

Pavlinka Vanyova Dundeva-Baleva
MD/Single Member LLC
6098831171

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