NPI 1194143875

Agnes Balla, MD

Practitioner Anatomic Pathology Physician Burlington, VT

Practice location

Address: 111 Colchester Ave Mailstop 233mp1, Burlington, VT 05401-1473
Phone: (802) 847-2700

Registered specialties (2)

Anatomic Pathology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207ZP0101X Licence 042.0013986 (VT)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1194143875
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 Mar 2014
Record last updated: 10 Oct 2018

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.