Provider Demographics
NPI:1932358074
Name:DUNDEVA-BALEVA, PAVLINKA VANYOVA (MD)
Entity Type:Individual
Prefix:
First Name:PAVLINKA
Middle Name:VANYOVA
Last Name:DUNDEVA-BALEVA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1901 N OLDEN AVENUE EXT STE 13A
Mailing Address - Street 2:
Mailing Address - City:EWING
Mailing Address - State:NJ
Mailing Address - Zip Code:08618-2100
Mailing Address - Country:US
Mailing Address - Phone:609-883-1171
Mailing Address - Fax:609-883-7777
Practice Address - Street 1:1901 N OLDEN AVENUE EXT STE 13A
Practice Address - Street 2:
Practice Address - City:EWING
Practice Address - State:NJ
Practice Address - Zip Code:08618-2100
Practice Address - Country:US
Practice Address - Phone:609-883-1171
Practice Address - Fax:609-883-7777
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-12
Last Update Date:2014-02-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA08452900207R00000X, 207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology