North Haledon Medical, PC

NPI #1477624088 in Wayne, New Jersey

Provider Information

NPI Number: 1477624088
Entity Type: Organization
Organization Name: North Haledon Medical, PC
Primary Specialty: Specialist
Enumeration Date: Nov 13, 2006
Last Updated: Apr 4, 2013

Practice Location

Address: 510 HAMBURG TPKE
Address 2: WAYNE COMMONS, SUITE 101
City: Wayne
State: New Jersey
ZIP Code: 07470-2025
Phone: (973) 942-6005

Authorized Official

Name: ANTHONY BARRAVECCHIO
Title: DELEGATED OFFICIAL
Phone: (973) 942-6005

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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