North Haledon Medical, Pc

NPI 1477624088 - Specialist - 174400000X

NPI Details
NPI 1477624088
Enumeration Date 11/13/2006
Last Updated 04/04/2013
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name ANTHONY ANTHONY
Position DELEGATED OFFICIAL
Phone (973) 942-6005
Fax (973) 942-6009
Practice Location
510 HAMBURG TPKE
WAYNE COMMONS, SUITE 101
WAYNE NJ, 07470-2025, US
Phone (973) 942-6005
Fax (973) 942-6009
Business Location
510 HAMBURG TPKE
WAYNE COMMONS, SUITE 101
WAYNE NJ, 07470-2025, US
Phone (973) 942-6005
Fax (973) 942-6009
Toxanomy
Taxonomy Code 174400000X
License State New Jersey
License Number 25MB06978600
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According to our database, North Haledon Medical, Pc NPI is 1477624088, taxonomy code is 174400000X and license number is 25MB06978600, license state is located at New Jersey. North Haledon Medical, Pc physically located at 510 Hamburg Tpke, Wayne NJ, 07470-2025. NPI Number 1033115704 has the healthcare provider type.

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1477624088 NPI number is provided on an as is basis without warranty of any kind. 1477624088 is maintained by the National Plan & Provider Enumeration System. The contents of North Haledon Medical, Pc are for informational purposes only.