KANCHANA BALA MD LLC

RUTHERFORD, NJ
NPI1952442329
Entity TypeOrganization
Authorized ContactKANCHANA BALASUBRAMANIAN
President
201-893-2939
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: NJ  25MA07605600)
Enumeration Date2007-02-09
Last Update Date2011-01-20
Business Address
KANCHANA BALA MD LLC
6 WALTER CT
RUTHERFORD, NJ 07070-2558
Phone number: 201-893-2939
Mailing Address
KANCHANA BALA MD LLC
6 WALTER CT
RUTHERFORD, NJ 07070-2558
Phone number: 201-893-2939