Provider Demographics
NPI:1952532236
Name:DIAR BAKERLI, HALA (MD)
Entity Type:Individual
Prefix:DR
First Name:HALA
Middle Name:
Last Name:DIAR BAKERLI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:716 BROAD ST
Mailing Address - Street 2:SUITE 2D
Mailing Address - City:CLIFTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07013-1645
Mailing Address - Country:US
Mailing Address - Phone:973-435-6070
Mailing Address - Fax:973-435-6090
Practice Address - Street 1:716 BROAD ST
Practice Address - Street 2:SUITE 2D
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07013-1645
Practice Address - Country:US
Practice Address - Phone:973-435-6070
Practice Address - Fax:973-435-6090
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-04
Last Update Date:2015-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA09594400207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine