MATTHEW BALLENBERGER

RIVERSIDE, RI
NPI1497296685
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RP1001X Internal Medicine, Pulmonary Disease
(Licence: RI  MD19716)
Additional Taxonomies207R00000X Internal Medicine
(Licence: CT  73520)
207RC0200X Internal Medicine, Critical Care Medicine
(Licence: RI  MD19716)
207RS0012X Internal Medicine, Sleep Medicine
(Licence: RI  MD19716)
207R00000X Internal Medicine
(Licence: NY  306174)
Enumeration Date2017-03-20
Last Update Date2024-05-30
Business Address
MATTHEW BALLENBERGER MD
375 WAMPANOAG TRL
RIVERSIDE, RI 02915-2232
Phone number: 401-649-4070
Mailing Address
MATTHEW BALLENBERGER MD
DEPT 3010, PO BOX 986524
BOSTON, MA 02298-6524
Phone number: 833-924-5546