Organization
IRONBOUND FAMILY MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARLENE HALLEGADO (MEDICAL DOCTOR)
(973) 344-6727
Entity
Organization
Contact information
Practice address
154 VAN BUREN ST, 1ST FLOOR, NEWARK, NJ 07105-2984
(973) 344-6727
(973) 491-5033
Mailing address
154 VAN BUREN ST, 1ST FLOOR, NEWARK, NJ 07105-2984
(973) 344-6727
(973) 491-5033
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MA060257
NJ
Other
Enumeration date
04/26/2012
Last updated
05/18/2012
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