Provider Demographics
NPI:1902855869
Name:BALIGA, ARVIND B (MD)
Entity Type:Individual
Prefix:
First Name:ARVIND
Middle Name:B
Last Name:BALIGA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:24 MACARTHUR BLVD
Mailing Address - Street 2:
Mailing Address - City:SOMERS POINT
Mailing Address - State:NJ
Mailing Address - Zip Code:08244-1776
Mailing Address - Country:US
Mailing Address - Phone:609-927-1991
Mailing Address - Fax:609-926-0075
Practice Address - Street 1:24 MACARTHUR BLVD
Practice Address - Street 2:
Practice Address - City:SOMERS POINT
Practice Address - State:NJ
Practice Address - Zip Code:08244-1776
Practice Address - Country:US
Practice Address - Phone:609-927-1991
Practice Address - Fax:609-926-0075
Is Sole Proprietor?:No
Enumeration Date:2006-05-09
Last Update Date:2020-12-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA05904900208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
1258833OtherUNITED HEALTHCARE
4306363OtherAETNA PPO/HMO
NJ0313497000OtherAMERIHEALTH HMO/PPO
NJ5503302Medicaid
NJ487261OtherAMERIHEALTH ADMINISTRATOR
10096OtherAIG MVA / WORKMANS COMP
NJ223233709OtherTAX ID
NJ250004593OtherRAILROAD MEDICARE
NJATS026OtherOXFORD
4306363OtherAETNA PPO/HMO