Provider Demographics
NPI:1538137450
Name:HALASZ, CHARLES LG (MD)
Entity Type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:LG
Last Name:HALASZ
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Gender:M
Credentials:MD
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Mailing Address - Street 1:149 EAST AVE
Mailing Address - Street 2:SUITE 20
Mailing Address - City:NORWALK
Mailing Address - State:CT
Mailing Address - Zip Code:06851-5711
Mailing Address - Country:US
Mailing Address - Phone:203-853-1874
Mailing Address - Fax:203-831-0007
Practice Address - Street 1:149 EAST AVE
Practice Address - Street 2:SUITE 20
Practice Address - City:NORWALK
Practice Address - State:CT
Practice Address - Zip Code:06851-5711
Practice Address - Country:US
Practice Address - Phone:203-853-1874
Practice Address - Fax:203-831-0007
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-08
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CT021431207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTB83956Medicare UPIN