Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0105X | Surgery of the Hand | MA41767 | NJ |
NPI | 1902990443 |
---|---|
Provider Name | Dr. Frederick L Ballet |
First Address | Mount Laurel, NJ 08054 |
Second Address | Marlton, NJ 08053 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/10/2006 |
Last Update Date | 24/02/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0001480000 | AMERIHEALTH (01) | NJ |
0041165 | GHI (01) | NJ |
010272400 | KEYSTONE (01) | NJ |
1245286 | UNITED HEALTHCARE (01) | NJ |
157009 | GREAT WEST (01) | NJ |
2K1490 | HEALTHNET (01) | NJ |
3733521B | CIGNA (01) | NJ |
4090690 | AETNA (01) | NJ |
6567F02205 | 1STOPTION (01) | NJ |
BNS014 | OXFORD (01) | NJ |
C59146 | (02) | NJ |