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1851314447
EDWARD JAMES BALLANTINE
GLOVERSVILLE, NY
NPI
1851314447
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: NY 130238-1)
Enumeration Date
2006-07-25
Last Update Date
2011-12-20
Business Address
Dr. EDWARD JAMES BALLANTINE M.D.
56 KINGSBORO AVE
GLOVERSVILLE, NY 12078-3411
Phone number: 518-725-8834
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Mailing Address
Dr. EDWARD JAMES BALLANTINE M.D.
56 KINGSBORO AVE
GLOVERSVILLE, NY 12078-3411
Phone number: 518-725-8834
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