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NPI Code Detail

MEDICARE: KATHLEEN E HASS

MEDICARE: KATHLEEN E HASS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1246XC2901XCardiovascular Invasive Specialist/Technologist111290CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1016637OTHERKAISER-COMMERCIAL NUMBER
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1174653935
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHLEEN E HASS
Provider Business Mailing Address
First Line : 1036 BLUEBIRD CIR
Second Line :
City : MAYS LANDING
State : NJ
Zip : 08330-5614
Country : US
Telephone Number : 609-241-0053
Fax Number :
Provider Business Practice Location Address
First Line : 258 N NEW RD
Second Line :
City : PLEASANTVILLE
State : NJ
Zip : 08232-2170
Country : US
Telephone Number : 609-646-4064
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/07/2007
Last Update Date : 01/07/2011

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Directions to “ KATHLEEN E HASS ” Practice Location

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