Provider Demographics
NPI:1770179178
Name:BALANCED HEALTH & DISCOVERY
Entity Type:Organization
Organization Name:BALANCED HEALTH & DISCOVERY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MURTUZA
Authorized Official - Middle Name:
Authorized Official - Last Name:TAMEEM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:630-479-2127
Mailing Address - Street 1:19 JEFFERSON ST APT 4C
Mailing Address - Street 2:
Mailing Address - City:HACKENSACK
Mailing Address - State:NJ
Mailing Address - Zip Code:07601-5043
Mailing Address - Country:US
Mailing Address - Phone:630-479-2127
Mailing Address - Fax:
Practice Address - Street 1:19 JEFFERSON ST APT 4C
Practice Address - Street 2:
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601-5043
Practice Address - Country:US
Practice Address - Phone:630-479-2127
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-19
Last Update Date:2021-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QA0401XAllopathic & Osteopathic PhysiciansFamily MedicineAddiction MedicineGroup - Single Specialty