Provider Demographics
NPI:1912756925
Name:SOLOMON HALIOUA MEDICAL PC
Entity type:Organization
Organization Name:SOLOMON HALIOUA MEDICAL PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:DR
Authorized Official - First Name:SOLOMON
Authorized Official - Middle Name:
Authorized Official - Last Name:HALIOUA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:201-845-6555
Mailing Address - Street 1:22 MADISON AVE STE 301
Mailing Address - Street 2:
Mailing Address - City:PARAMUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07652-2721
Mailing Address - Country:US
Mailing Address - Phone:201-845-6555
Mailing Address - Fax:201-845-5599
Practice Address - Street 1:22 MADISON AVE STE 301
Practice Address - Street 2:
Practice Address - City:PARAMUS
Practice Address - State:NJ
Practice Address - Zip Code:07652-2721
Practice Address - Country:US
Practice Address - Phone:201-845-6555
Practice Address - Fax:201-845-5599
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-14
Last Update Date:2024-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain MedicineGroup - Multi-Specialty