Organization
GLEN ROCK PEDIATRICS, PC
Active
Other names
Dorina Halifman, MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DORINA HALIFMAN M.D. (PRESIDENT)
(201) 857-3111
Entity
Organization
Contact information
Practice address
385 S MAPLE AVE, SUITE 107A, GLEN ROCK, NJ 07452-1543
(201) 857-3111
(201) 857-3110
Mailing address
385 S MAPLE AVE, SUITE 107A, GLEN ROCK, NJ 07452-1543
(201) 857-3111
(201) 857-3110
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
25MA09074400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0346829
—
NJ
Enumeration date
10/12/2015
Last updated
10/12/2015
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