Provider Demographics
NPI:1760583801
Name:EID, HALA M (MD)
Entity Type:Individual
Prefix:DR
First Name:HALA
Middle Name:M
Last Name:EID
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Gender:F
Credentials:MD
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Mailing Address - Street 1:1 FEDERAL ST
Mailing Address - Street 2:STE SW200
Mailing Address - City:CAMDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08103-1155
Mailing Address - Country:US
Mailing Address - Phone:856-325-6770
Mailing Address - Fax:856-673-4510
Practice Address - Street 1:900 CENTENNIAL BLVD
Practice Address - Street 2:BUILDING 2 SUITE 201
Practice Address - City:VOORHEES
Practice Address - State:NJ
Practice Address - Zip Code:08043-4637
Practice Address - Country:US
Practice Address - Phone:856-325-6770
Practice Address - Fax:856-673-4510
Is Sole Proprietor?:No
Enumeration Date:2006-09-25
Last Update Date:2017-01-12
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Provider Licenses
StateLicense IDTaxonomies
NJMA064144207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJP00206983OtherRAILROAD MEDICARE
NJ3700334OtherAETNA US HEALTHCARE
NJP3553428OtherOXFORD HEALTH PLAN
NJ40345OtherUNIVERSITY HEALTH CARE
NJ2134153OtherUNITED HEALTH CARE
NJ3K6154OtherHEALTHNET, INC
NJ60014003OtherHORIZON NJ HEALTH
NJ2140553000OtherAMERIHEALTH HMO
NJP3553428OtherOXFORD HEALTH PLAN
NJ059923 PN7Medicare PIN