Thejaswi Balla
NPI #1871236984 in Lawrence Township, New Jersey
Provider Information
- NPI Number
- 1871236984
- Entity Type
- Individual
- Name
- Thejaswi Balla
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Registered Nurse
- Enumeration Date
- Apr 16, 2022
- Last Updated
- Apr 16, 2022
Practice Location
- Address
- 19 RICKARD CT
- State
- New Jersey
- ZIP Code
- 08648-2668
- Phone
- (978) 677-0636
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
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