Most Relevant Information
Provider Data
| NPI Number: | 1003502154 |
| Provider Name: | HAALA BABAR DO |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/12/2023 |
| Last Updated: | 04/12/2023 |
Provider Practice Location
707 E MAIN ST
MIDDLETOWN
NY
109402650
Practice Location Phone/Fax
| Phone: | 8453337373 |
| Fax: |
Provider Mailing Location
2301 GALWAY DR
MANSFIELD
TX
760637513
Provider Mailing Phone/Fax
| Phone: | 8177916101 |
| Fax: |