Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0205X | Pediatric Endocrinologist | 25MB06812900 | NJ |
NPI | 1437181690 |
---|---|
Provider Name | Dr. Henry Anhalt |
First Address | Hackensack, NJ 07601-2257 |
Second Address | Hackensack, NJ 07601-2257 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2006 |
Last Update Date | 17/02/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F43723 | (02) |