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DR. DANIEL JONATHAN BAL M.D.
>> Family Medicine >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1275976680
Individual Registrant:DR. DANIEL JONATHAN BAL M.D.
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
75 HOLLY HILL LN FL 2 GREENWICH, CT 06830 US
Tel: 203-869-6960 Fax: --
Tel: 203-869-6960 Fax: --
Contact information for business:
75 HOLLY HILL LN FL 2 GREENWICH, CT 06830-2917 US
Tel: 203-869-6960 Fax: --
Tel: 203-869-6960 Fax: --
Registration Information:
NPI: 1275976680
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 207Q00000X | Allopathic & Osteopathic Physicians Family Medicine | CT | 60170 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
