Individual
ATEF ELHALAKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
250 MAIN ST APT 11, SPOTSWOOD, NJ 08884-1274
(732) 470-1911
Mailing address
250 MAIN ST APT 11, SPOTSWOOD, NJ 08884-1274
(732) 470-1911
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
372600000X
Adult Companion
—
—
374U00000X
Home Health Aide
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
YHZ70512230
—
NJ
Enumeration date
05/01/2023
Last updated
05/01/2023
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