Dr. Douglas A Ballan, MD
Family Medicine in Fanwood, New Jersey
1508893199- Practice location
- 45 Elm Ave, This Is Doctor'S Home; There Is No Office., Fanwood, NJ 07023-1203
- Phone
- 908-279-3477
- Fax
- 908-345-6111
- Last updated
- September 6, 2011
Douglas A. Ballan is a Family Medicine based in Fanwood, NJ. Douglas A. Ballan practices in Fanwood, NJ and has the professional credentials of MD. The NPI Number for Douglas A. Ballan is 1508893199 and holds a License No. ma57331 (NJ). The current practice location address for Douglas A. Ballan is 45 Elm Ave, This Is Doctor'S Home; There Is No Office., Fanwood, NJ 07023-1203 and can be reached out via phone at 908-279-3477 and via fax at 908-345-6111.
Provider Profile Details
- NPI Number
- 1508893199
- Provider Name
- Douglas A. Ballan
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 45 Elm Ave, This Is Doctor'S Home; There Is No Office., Fanwood, NJ 07023-1203
- Phone Number
- 908-279-3477
- Fax Number
- 908-345-6111
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- June 27, 2006
- Last Update Date
- September 6, 2011
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 45 Elm Ave
This Is Doctor'S Home; There Is No Office.
Fanwood, NJ 07023-1203 - City
- Fanwood
- State
- New Jersey
- Zip
- 07023-1203
- Phone Number
- 908-279-3477
- Fax Number
- 908-345-6111
Provider Business Mailing Address Details
- Address
- Po Box 122
Scotch Plains, NJ 07076-0122 - City
- Scotch Plains
- State
- NJ
- Zip
- 07076-0122
- Phone Number
- 908-279-3477
- Fax Number
- 908-345-6111
License Information
- License Number
- ma57331
- License State
- NJ
- Taxonomy
- Family Medicine · 207Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Family Medicine providers near Fanwood, NJ
View all Family Medicine providers in Fanwood →Frequently Asked Questions
What is the NPI number of Dr. Douglas A Ballan, MD?
The NPI number of Dr. Douglas A Ballan, MD is 1508893199. It was assigned on June 27, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. Douglas A Ballan, MD?
Dr. Douglas A Ballan, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in NJ under license number ma57331.
Where does Dr. Douglas A Ballan, MD practice?
The practice location is 45 Elm Ave, This Is Doctor'S Home; There Is No Office., Fanwood, NJ 07023-1203. The office can be reached at 908-279-3477 (phone) or 908-345-6111 (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 1508893199 directly on the NPPES registry website.