IndividualActive
Matthew Ballenberger, MD
NPI 1497296685 · Pulmonary Disease Physician · Riverside, RI
Provider details
- NPI number
- 1497296685
- Entity type
- Individual
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 73520 (CT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
375 Wampanoag Trl
Riverside, RI 02915-2232
Phone: (401) 649-4070
Fax: (401) 649-4071
Approximate (ZIP-level) locationGet directions
Mailing address
Dept 3010, Po Box 986524
Boston, MA 02298-6524
Additional practice locations (2)
- 20 York StNew Haven, CT 06510-3220Phone: (203) 688-4242
- 100 E 77th StNew York, NY 10075-1850Phone: (212) 434-2140
Registry dates
- Enumerated
- 2017-03-20
- Last updated
- 2024-05-30
- Certified
- 2024-05-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.