NPI 1023908118

Iridious Charles Hallback

Practitioner Attendant Care Provider Ewing, NJ

Practice location

Address: 3 Clermont Ave, Ewing, NJ 08618-2615
Phone: (609) 743-1912

Registered specialties

Attendant Care Provider Primary

Nursing Service Related Providers Taxonomy 3747A0650X

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Registry record

NPI: 1023908118
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Jul 2025
Record last updated: 8 Jul 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.