Doctor Name: | MR. DAVID BALKAN |
NPI Number: | 1194899013 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 40QA00749200 |
Business Practice Address: | 19 Bloomingdale Ave Cranford, NJ - 070162456 |
Business Phone Number: | 9084970557 |
Business Fax Number: | |
Mailing Address: | 19 Bloomingdale Ave, CRANFORD |
State: | NJ |
Postal Code: | 070162456 |
Phone Number: | 9084970557 |
Fax Number: | |
NPI Enumeration Date: | 11/20/2006 |
NPI Last Update Date: | 04/15/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | 40QA00749200 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |