Provider Demographics
NPI:1437323250
Name:HALICKMAN, ISAAC J (MD)
Entity Type:Individual
Prefix:
First Name:ISAAC
Middle Name:J
Last Name:HALICKMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:3 COOPER PLZ
Mailing Address - Street 2:SUITE 502
Mailing Address - City:CAMDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08103-1438
Mailing Address - Country:US
Mailing Address - Phone:856-342-2921
Mailing Address - Fax:856-968-8499
Practice Address - Street 1:900 CENTENNIAL BLVD
Practice Address - Street 2:SUITE H
Practice Address - City:VOORHEES
Practice Address - State:NJ
Practice Address - Zip Code:08043-4689
Practice Address - Country:US
Practice Address - Phone:856-325-6700
Practice Address - Fax:856-325-6702
Is Sole Proprietor?:No
Enumeration Date:2008-04-14
Last Update Date:2016-04-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME 101212207RC0000X
NJMA08014700207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJMA08014700OtherMEDICAL LICENSE