Organization
PHYSICIANS HEALTH ALLIANCE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL R. DARA MD (SECRETARY/TREASURER)
(973) 835-6300
Entity
Organization
Contact information
Practice address
1777 HAMBURG TPKE, WAYNE, NJ 07470-5211
(973) 835-6300
(973) 835-3761
Mailing address
1777 HAMBURG TPKE, SUITE 102, WAYNE, NJ 07470-5211
(973) 831-7455
(973) 835-3761
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7726805
—
NJ
Enumeration date
01/13/2006
Last updated
01/21/2009
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