Provider Demographics
NPI:1144240664
Name:HALICZER, ARTHUR F (DDS)
Entity Type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:F
Last Name:HALICZER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 N UNION AVE
Mailing Address - Street 2:
Mailing Address - City:CRANFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07016-2194
Mailing Address - Country:US
Mailing Address - Phone:908-276-4116
Mailing Address - Fax:908-276-0445
Practice Address - Street 1:108 N UNION AVE
Practice Address - Street 2:
Practice Address - City:CRANFORD
Practice Address - State:NJ
Practice Address - Zip Code:07016-2194
Practice Address - Country:US
Practice Address - Phone:908-276-4116
Practice Address - Fax:908-276-0445
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ141541223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice