Provider Demographics
NPI:1215625645
Name:GABRIELA BALF PC
Entity type:Organization
Organization Name:GABRIELA BALF PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:GABRIELA
Authorized Official - Middle Name:
Authorized Official - Last Name:BALF
Authorized Official - Suffix:
Authorized Official - Credentials:MD, MPH
Authorized Official - Phone:203-707-0881
Mailing Address - Street 1:1515 BURNT BOAT DR # 305
Mailing Address - Street 2:
Mailing Address - City:BISMARCK
Mailing Address - State:ND
Mailing Address - Zip Code:58503-1333
Mailing Address - Country:US
Mailing Address - Phone:203-707-0881
Mailing Address - Fax:701-425-0596
Practice Address - Street 1:1515 BURNT BOAT DR # 305
Practice Address - Street 2:
Practice Address - City:BISMARCK
Practice Address - State:ND
Practice Address - Zip Code:58503-1333
Practice Address - Country:US
Practice Address - Phone:701-888-9779
Practice Address - Fax:701-425-0596
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-25
Last Update Date:2024-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty