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Individual

MR. ERIK PETER HABURA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
300 CENTRAL AVE, EAST ORANGE GENERAL HOSPITAL, EAST ORANGE, NJ 07018-2819
(973) 672-8400
Mailing address
556 MAIN ST, LODI, NJ 07644-2003
(201) 923-5131

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
016691-1
NY
363A00000X
Physician Assistant
Primary
25MP00315300
NJ

Other

Enumeration date
08/12/2013
Last updated
08/12/2013
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