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Individual
TARIQ HALASA
Active
Individual
TARIQ HALASA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
2021026797
MO
208M00000X
Hospitalist Physician
Primary
2021026797
MO
208M00000X
Hospitalist Physician
25MA12122800
NJ
Other
Enumeration date
12/09/2016
Last updated
09/19/2025
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