Balaishe B Ballo
Nurse Anesthetist, Certified Registered in Camden, New Jersey
1003672346- Practice location
- 1600 Haddon Ave Fl 3, Camden, NJ 08103-3101
- Phone
- 856-988-6260
- Fax
- 856-988-6270
- Last updated
- January 14, 2025
Balaishe Boakai Ballo is a Nurse Anesthetist, Certified Registered based in Camden, NJ. Balaishe Boakai Ballo practices in Camden, NJ. The NPI Number for Balaishe Boakai Ballo is 1003672346 and holds a License No. 147728 (PA). The current practice location address for Balaishe Boakai Ballo is 1600 Haddon Ave Fl 3, Camden, NJ 08103-3101 and can be reached out via phone at 856-988-6260 and via fax at 856-988-6270.
Provider Profile Details
- NPI Number
- 1003672346
- Provider Name
- Balaishe Boakai Ballo
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1600 Haddon Ave Fl 3, Camden, NJ 08103-3101
- Phone Number
- 856-988-6260
- Fax Number
- 856-988-6270
- Primary Taxonomy
- Nurse Anesthetist, Certified Registered · 367500000X
- Sole Proprietor
- No
- Provider Enumeration Date
- February 26, 2024
- Last Update Date
- January 14, 2025
- Certification Date
- January 14, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1600 Haddon Ave Fl 3
Camden, NJ 08103-3101 - City
- Camden
- State
- New Jersey
- Zip
- 08103-3101
- Phone Number
- 856-988-6260
- Fax Number
- 856-988-6270
Provider Business Mailing Address Details
- Address
- 301 Lippincott Dr Ste 410
Marlton, NJ 08053-4197 - City
- Marlton
- State
- NJ
- Zip
- 08053-4197
- Phone Number
- 856-988-6260
- Fax Number
- 856-988-6270
License Information
- License Number (1)
- 147728
- License State (1)
- PA
- Taxonomy (1)
- Nurse Anesthetist, Certified Registered · 367500000X
- License Number (2)
- 26NJ15034400
- License State (2)
- NJ
- Taxonomy (2)
- Nurse Anesthetist, Certified Registered · 367500000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Balaishe B Ballo?
The NPI number of Balaishe B Ballo is 1003672346. It was assigned on February 26, 2024 and is currently active in the NPPES registry.
What is the specialty of Balaishe B Ballo?
Balaishe B Ballo is registered under the primary taxonomy Nurse Anesthetist, Certified Registered (code 367500000X), licensed in PA under license number 147728.
Where does Balaishe B Ballo practice?
The practice location is 1600 Haddon Ave Fl 3, Camden, NJ 08103-3101. The office can be reached at 856-988-6260 (phone) or 856-988-6270 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003672346 directly on the NPPES registry website.