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Contact Information

ELSAID BALBOUL, MD
508 HAMBURG TPKE
SUITE 201
WAYNE, NJ07470-8482
 Phone: 973-942-1340
 Fax: 973-942-1360
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for ELSAID BALBOUL · (Male)

NPI # 1467421339
Status Active
Credentials MD
Entity Individual
Enumeration date 03/14/2006
Last updated 01/23/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • NJ License # MA59362
  • NJ Medicaid 9056301
Hospital affiliation(s)
  • CHILTON HOSPITAL - (Acute Care)
    97 WEST PARKWAY
    POMPTON PLAINS, NJ 07444
  • SAINT BARNABAS MEDICAL CENTER - (Acute Care)
    94 OLD SHORT HILLS ROAD
    LIVINGSTON, NJ 07039
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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