Nishad Kuriyannoorkunnel Balan
Massage Therapist in North Brunswick, NJ(View on Map)
Full Name
Nishad Kuriyannoorkunnel Balan
NPI Number
1689113896
NPI Type
Individual Provider
Gender
Male
Enumeration Date
02/21/2017
Specialties
(Taxonomies)Code
225700000X
172M00000X
133NN1002X
133N00000X
Primary Taxonomy
Yes
No
No
No
Licenses
State
New Jersey
License Number
18KT01276600
Contact
Information
Purpose
Mailing
Location
Address
1503 FINNEGAN LN
1503 FINNEGAN LN
City
North Brunswick
North Brunswick
State
NJ
NJ
Postal Code
08902-1061
08902-1061
Country
US
US
Telephone Number
(732) 912-9115
(732) 912-9115
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 10/28/2019
Provider Address
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