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1831136571
ETHAN BALK
BOSTON, MA
NPI
1831136571
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MA 77179)
Enumeration Date
2006-06-01
Last Update Date
2007-07-08
Business Address
ETHAN BALK M.D.
750 WASHINGTON ST BOX 63
BOSTON, MA 02111-1526
Phone number: 617-636-3282
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Mailing Address
ETHAN BALK M.D.
750 WASHINGTON STREET BOX 63 NEW ENGLAND MEDICAL CENTER
BOSTON, MA 02111
Phone number: 617-636-3282
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