MEDICARE: ELIF HAJALUGA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	41YS00717800	NJ

General Provider Information

NPI Number	:	1083117204
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIF HAJALUGA

Provider Business Mailing Address
First Line	:	200 WANAQUE AVE STE 302B
Second Line	:
City	:	POMPTON LAKES
State	:	NJ
Zip	:	07442-2130
Country	:	US
Telephone Number	:	862-703-9868
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 WANAQUE AVE STE 302B
Second Line	:
City	:	POMPTON LAKES
State	:	NJ
Zip	:	07442-2130
Country	:	US
Telephone Number	:	862-703-9868
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/14/2018
Last Update Date	:	08/22/2022

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Directions to “ ELIF HAJALUGA ” Practice Location

Language	Start Address	Practice Location

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