Alvarez-Ballway, Maria Theresa

Alvarez-Ballway, Maria Theresa is an individual health care provider with primary practice located at 150 Bergen St Pediatric E.R, Newark NJ 07103-2496. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, which is considered as her primary health care specialty. Alvarez-Ballway, Maria Theresa can be contacted via phone (973) 972-5139.

Contact Information

Primary practice address
150 Bergen St Pediatric E.R Newark NJ 07103-2496
Phone: (973) 972-5139
Fax: (973) 972-5965
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X 25MA05778100 New Jersey

Profile Details

NPI number 1750508149
LBN Legal business name Alvarez-Ballway, Maria Theresa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2007
Last updated Apr 30th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750508149 NPPES
New Jersey MEDICAID 6604609

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