Elsaid Balboul Md Pa

LBN: Elsaid Balboul Md Pa
Elsaid Balboul Md Pa is an health care organization with primary practice located at 508 Hamburg Tpke Ste 201, Wayne NJ 07470-8482. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Elsaid Balboul Md Pa can be contacted via phone (973) 942-1340, or through Balboul, Elsaid via phone (973) 942-1340.

Contact Information

Primary practice address
508 Hamburg Tpke Ste 201 Wayne NJ 07470-8482
Phone: (973) 942-1340
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Balboul, Elsaid Doctor of Medicine (MD)
Phone: (973) 942-1340

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MA59362 New Jersey

Profile Details

NPI number 1265487086
LBN Legal business name Elsaid Balboul Md Pa
DBA Doing business as
Authorized official Balboul, Elsaid Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 23rd, 2006
Last updated Aug 15th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265487086 NPPES
New Jersey MEDICAID 9056301

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