NPI 1003672346

Balaishe Boakai Ballo

Practitioner Certified Registered Nurse Anesthetist Camden, NJ

Practice location

Address: 1600 Haddon Ave Fl 3, Camden, NJ 08103-3101
Phone: (856) 988-6260
Fax: (856) 988-6270
Mailing address: 301 Lippincott Dr STE 410, Marlton, NJ 08053-4197

Registered specialties (2)

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 26NJ15034400 (NJ)

Other Nurse Anesthetist, Certified Registered providers in New Jersey →

Certified Registered Nurse Anesthetist

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 147728 (PA)

Registry record

NPI: 1003672346
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Feb 2024
Record last updated: 14 Jan 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.