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1184799066
AMBALAVANAN BALASUBRAMANIAN
RANDALLSTOWN, MD
NPI
1184799066
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MD D65046)
Enumeration Date
2006-11-23
Last Update Date
2010-08-27
Business Address
Dr. AMBALAVANAN BALASUBRAMANIAN MD
5311 OLD COURT RD
RANDALLSTOWN, MD 21133-5241
Phone number: 410-922-7382
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Mailing Address
Dr. AMBALAVANAN BALASUBRAMANIAN MD
5311 OLD COURT RD
RANDALLSTOWN, MD 21133-5241
Phone number: 410-922-7382
Copy
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