Individual
DR. ABE HALICZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
47 ORIENT WAY, SUITE LL-C, RUTHERFORD, NJ 07070-2082
(201) 372-0401
(201) 372-0402
Mailing address
47 ORIENT WAY, SUITE LL-C, RUTHERFORD, NJ 07070-2082
(201) 372-0401
(201) 372-0402
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
25MA04495000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0088817
LEGACY #
—
01
—
016400TY8
RENDERING INDIVIDUAL ID #
—
Enumeration date
03/08/2006
Last updated
10/17/2007
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