Provider Demographics
NPI:1326110446
Name:HALAS, FRANCIS PETER (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANCIS
Middle Name:PETER
Last Name:HALAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:2130 HIGHWAY 35
Mailing Address - Street 2:SUITE B214
Mailing Address - City:SEA GIRT
Mailing Address - State:NJ
Mailing Address - Zip Code:08750-1010
Mailing Address - Country:US
Mailing Address - Phone:732-974-0228
Mailing Address - Fax:732-974-7458
Practice Address - Street 1:2130 HIGHWAY 35
Practice Address - Street 2:SUITE B214
Practice Address - City:SEA GIRT
Practice Address - State:NJ
Practice Address - Zip Code:08750-1010
Practice Address - Country:US
Practice Address - Phone:732-974-0228
Practice Address - Fax:732-974-7458
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA05665100207QA0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0000XAllopathic & Osteopathic PhysiciansFamily MedicineAdolescent Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJG21867Medicare UPIN