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Organization
HALO HEALTHCARE, PLLC
Active
Organization
HALO HEALTHCARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SARTHI S DALAL DO (CHIEF EXECUTIVE OFFICER)
(610) 613-1504
Entity
Organization
Contact information
Practice address
4131 MAIN ST, PHILADELPHIA, PA 19127-2126
(610) 613-1504
(215) 935-4906
Mailing address
4131 MAIN ST, PHILADELPHIA, PA 19127-2126
(610) 613-1504
(215) 935-4906
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1038263750001
—
PA
Enumeration date
02/18/2021
Last updated
07/14/2021
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