Balk, Samuel David

Balk, Samuel David is an individual health care provider with primary practice located at 44 Old Orchard Lane , Ocean NJ 07712. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Allopathic & Osteopathic Physicians / Cytopathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Balk, Samuel David can be contacted via phone (732) 539-1280.

Contact Information

Primary practice address
44 Old Orchard Lane Ocean NJ 07712
Phone: (732) 539-1280
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 25MA04777300 New Jersey
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 1673131 New York
Allopathic & Osteopathic Physicians / Cytopathology 207ZC0500X 1673131 New York

Profile Details

NPI number 1801841218
LBN Legal business name Balk, Samuel David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2006
Last updated Jul 8th, 2007 - about 17 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 1801841218 NPPES
New Jersey MEDICAID 0579700

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