Individual
IRIDIOUS CHARLES HALLBACK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3 CLERMONT AVE, EWING, NJ 08618-2615
(609) 743-1912
Mailing address
3 CLERMONT AVE, EWING, NJ 08618-2615
(609) 743-1912
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
07/08/2025
Last updated
07/08/2025
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