Individual
ISAAK I HALEGOUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601 HAMILTON AVE, TRENTON, NJ 08629-1915
(609) 599-5050
(609) 599-4318
Mailing address
601 HAMILTON AVE, TRENTON, NJ 08629-1915
(609) 599-5050
(609) 599-4318
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125089
NY
207R00000X
Internal Medicine Physician
Primary
25MA08910000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00275838
—
NY
Enumeration date
05/04/2006
Last updated
12/09/2022
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