Organization
RALPH R HALLAC MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BETSY HALLAC (OFFICE MANAGER)
(201) 567-6599
Entity
Organization
Contact information
Practice address
200 GRAND AVE, ENGLEWOOD, NJ 07631-4371
(201) 567-6599
Mailing address
44 MARINERS CV, EDGEWATER, NJ 07020-1293
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MA34540
NJ
Other
Enumeration date
06/21/2007
Last updated
06/29/2011
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