Provider Demographics
NPI:1225126634
Name:BALSE, RANJIT MOHAN (MD)
Entity Type:Individual
Prefix:
First Name:RANJIT
Middle Name:MOHAN
Last Name:BALSE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 308
Mailing Address - Street 2:217 SAGAMORE STREET
Mailing Address - City:HAMILTON
Mailing Address - State:MA
Mailing Address - Zip Code:01936-0308
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:781-687-3536
Practice Address - Street 1:VA HOSPITAL
Practice Address - Street 2:200 SPRINGS ROAD
Practice Address - City:BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:01730
Practice Address - Country:US
Practice Address - Phone:781-687-2654
Practice Address - Fax:781-687-3536
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA39029207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine