Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Douglas A. Ballan, MD

Individual provider Family Medicine Physician · NPI 1508893199

Dr. Douglas A. Ballan, MD is a Family Medicine Physician in Fanwood, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

45 Elm Ave This Is Doctor's Home; There Is No Ofc
Fanwood, NJ 07023-1203
Phone: (908) 279-3477
Fax: (908) 345-6111
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MA57331 (NJ)

Record details

NPI number1508893199
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 27, 2006
Last updated in NPPESSeptember 6, 2011
Mailing addressPo Box 122, Scotch Plains, NJ 07076-0122

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