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NPI Code Detail

MEDICARE: ISAAK I HALEGOUA MD

MEDICARE: ISAAK I HALEGOUA MD
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
1207R00000XInternal Medicine Physician25MA08910000NJ
2207R00000XInternal Medicine Physician125089NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1124076393
Entity Type Code : Individual
Provider Name (Legal Business Name) : ISAAK I HALEGOUA MD
Provider Business Mailing Address
First Line : 601 HAMILTON AVE
Second Line :
City : TRENTON
State : NJ
Zip : 08629-1915
Country : US
Telephone Number : 609-599-5050
Fax Number : 609-599-4318
Provider Business Practice Location Address
First Line : 601 HAMILTON AVE
Second Line :
City : TRENTON
State : NJ
Zip : 08629-1915
Country : US
Telephone Number : 609-599-5050
Fax Number : 609-599-4318
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2006
Last Update Date : 12/09/2022

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Directions to “ ISAAK I HALEGOUA MD” Practice Location

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