Most Relevant Information
Provider Data
| NPI Number: | 1003672346 |
| Provider Name: | BALAISHE BOAKAI BALLO |
| Entity Type: | Individual |
| Taxonomy Code: | 367500000X |
| Specialty: | Nurse Anesthetist, Certified Registered |
| License Number: | 147728 |
Most Important Dates
| Enumeration Date: | 02/26/2024 |
| Last Updated: | 02/26/2024 |
Provider Practice Location
1600 HADDON AVE
CAMDEN
NJ
081033101
Practice Location Phone/Fax
| Phone: | 8567573500 |
| Fax: |
Provider Mailing Location
1925 LAWRENCE RD APT 11E
HAVERTOWN
PA
190831757
Provider Mailing Phone/Fax
| Phone: | 1484667331 |
| Fax: |