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1740228220
ASHFAQ S. BALLA
WORCESTER, MA
NPI
1740228220
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RN0300X Internal Medicine, Nephrology
(Licence: MA 242372)
Enumeration Date
2006-06-04
Last Update Date
2020-11-17
Business Address
ASHFAQ S. BALLA MD
55 LAKE AVE N
WORCESTER, MA 01655-0002
Phone number: 508-856-3155
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Mailing Address
ASHFAQ S. BALLA MD
PO BOX 415348
BOSTON, MA 02241-5348
Phone number: 800-225-8885
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