Provider Demographics
NPI:1821176249
Name:TERESA SMITH BALL LLC
Entity Type:Organization
Organization Name:TERESA SMITH BALL LLC
Other - Org Name:DELRAN FAMILY PRACTICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ANN
Authorized Official - Middle Name:
Authorized Official - Last Name:NUTTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-764-7997
Mailing Address - Street 1:8008 ROUTE 130 NORTH
Mailing Address - Street 2:SUITE 120
Mailing Address - City:DELRAN
Mailing Address - State:NJ
Mailing Address - Zip Code:08075
Mailing Address - Country:US
Mailing Address - Phone:856-764-7997
Mailing Address - Fax:856-764-1840
Practice Address - Street 1:8008 ROUTE 130 NORTH
Practice Address - Street 2:SUITE 120
Practice Address - City:DELRAN
Practice Address - State:NJ
Practice Address - Zip Code:08075
Practice Address - Country:US
Practice Address - Phone:856-764-7997
Practice Address - Fax:856-764-1840
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty