Balash, Eva Marie

Balash, Eva Marie is an individual health care provider with primary practice located at 1153 Centre St Ste 5G, Jamaica Plain MA 02130. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Balash, Eva Marie can be contacted via phone (617) 522-2779.

Contact Information

Primary practice address
1153 Centre St Ste 5G Jamaica Plain MA 02130
Phone: (617) 522-2779
Fax: (617) 522-5698
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 35713 Massachusetts

Profile Details

NPI number 1952405045
LBN Legal business name Balash, Eva Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 11th, 2006
Last updated Jan 18th, 2017 - about 7 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 1952405045 NPPES
Other 035713 TUFTS
MEDICAID 3045048 TUFTS
Other 4321 TUFTS

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