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North Haledon Medical, Pc
Specialist in Wayne, New Jersey
NPI 1477624088

North Haledon Medical, Pc is a Specialist based in Wayne, NJ. North Haledon Medical, Pc practices in Wayne, NJ. The NPI Number for North Haledon Medical, Pc is 1477624088 and holds a License No. 25MB06978600 (New Jersey).

The current practice location address for North Haledon Medical, Pc is 510 Hamburg Tpke, Wayne, NJ and can be reached out via phone at 973-942-6005 and via fax at 973-942-6009.

Location: 510 Hamburg Tpke, Wayne, NJ, 07470-2025
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1477624088
Provider Name
North Haledon Medical, Pc
Credential
Provider Entity Type
Organization
Address
510 Hamburg Tpke, Wayne, NJ, 07470-2025
Phone Number
973-942-6005
Fax Number
973-942-6009
Provider Enumeration Date
11/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2016615002 01 NJ AMERIHEALTH GROUP #
7305262 01 NJ AETNA GROUP #
8644101 05 NJ
DC3972 01 NJ RAILROAD MDCR GROUP #
institution
Provider Business Practice Location Address Details
Address
510 Hamburg Tpke
City
Wayne
State
New Jersey
Zip
07470-2025
Phone Number
973-942-6005
Fax Number
973-942-6009
person
Provider Business Mailing Address Details
Address
510 Hamburg Tpke
City
Wayne
State
New Jersey
Zip
07470-2025
Phone Number
973-942-6005
Fax Number
973-942-6009
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
25MB06978600 (New Jersey)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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