Individual
DR. MANUEL HALCON MORALEDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 BUCKINGHAM DR, BERLIN, NJ 08009-9689
(269) 830-5374
Mailing address
1 BUCKINGHAM DR, BERLIN, NJ 08009-9689
(269) 830-5374
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
01036642A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01036642A
PHYSICIAN LICENSE
IN
Enumeration date
03/13/2013
Last updated
03/13/2013
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