Provider Demographics
NPI:1932178928
Name:HALKO, GEORGE J (DO)
Entity Type:Individual
Prefix:
First Name:GEORGE
Middle Name:J
Last Name:HALKO
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 339
Mailing Address - Street 2:
Mailing Address - City:SOMERS POINT
Mailing Address - State:NJ
Mailing Address - Zip Code:08244-0339
Mailing Address - Country:US
Mailing Address - Phone:609-601-1080
Mailing Address - Fax:609-601-1077
Practice Address - Street 1:408 BETHEL RD
Practice Address - Street 2:UNIT C 1
Practice Address - City:SOMERS POINT
Practice Address - State:NJ
Practice Address - Zip Code:08244-2172
Practice Address - Country:US
Practice Address - Phone:609-601-1080
Practice Address - Fax:609-601-1077
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-14
Last Update Date:2011-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMB053682207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
207RR0500XOtherTAXONOMY
NJ510376Medicare ID - Type Unspecified
207RR0500XOtherTAXONOMY