Individual
DR. WAEL AL-HALASEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
306 MEDICAL CENTER DR SW, FORT PAYNE, AL 35968-3416
(256) 845-9255
(256) 845-9349
Mailing address
306 MEDICAL CENTER DR SW, FORT PAYNE, AL 35968-3416
(256) 845-9255
(256) 845-9349
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
25MA07880900
NJ
207RC0000X
Cardiovascular Disease Physician
Primary
MD28946
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760645311
—
AL
01
—
510-47874
AL BCBS
AL
Enumeration date
07/03/2008
Last updated
09/11/2013
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