Balija, Tara M
Balija, Tara M is an individual health care provider with primary practice located at 787 11Th Ave Fl 7 , New York NY 10019-3584. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Oncology. Allopathic & Osteopathic Physicians / Surgical Oncology is her primary health care specialty. Balija, Tara M can be contacted via phone (212) 604-6000.Contact Information
Primary practice address
787 11Th Ave Fl 7
New York NY 10019-3584
Phone: (212) 604-6000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 25MA09145900 | New Jersey |
| Allopathic & Osteopathic Physicians / Surgical Oncology | 2086X0206X | 316133 | New York |
Profile Details
| NPI number | 1518284579 |
|---|---|
| LBN Legal business name | Balija, Tara M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 29th, 2010 |
| Last updated | Apr 4th, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518284579 | NPPES |
| New Jersey | MEDICAID | 0431575 |
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