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BRENDA K. BALCH M.D.
>> Pediatrics >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1891895595
Individual Registrant: BRENDA K. BALCH M.D.
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
53 C GRANITE STREET NEW LONDON, CT 06320 US
Tel: 860-442-8817 Fax: 860-442-2011
Tel: 860-442-8817 Fax: 860-442-2011
Contact information for business:
53 C GRANITE STREET NEW LONDON, CT 06320 US
Tel: 860-442-8817 Fax: 860-442-2011
Tel: 860-442-8817 Fax: 860-442-2011
Registration Information:
NPI: 1891895595
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 208000000X | Allopathic & Osteopathic Physicians Pediatrics | CT | 031470 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| BLUE CROSS | 010031470CT01 | 01 | |
| OXFORD | NLP071 | 01 | |
| BLUE CARE FAMILY PLAN | 001314707-00 | 01 | |
| HEALTH NET | OV6152 | 01 |
