Healthcare Provider Details

I. General information

NPI: 1063677029
Provider Name (Legal Business Name): JOSEPH MICHAEL HAIG MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/18/2008
Last Update Date: 06/09/2023
Certification Date: 06/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 WILLIAMSON ST EMERGENCY MEDICINE DEPARTMENT
ELIZABETH NJ
07207
US

IV. Provider business mailing address

225 WILLIAMSON ST CREDENTIALING/PAYER CONTRACTING SERVICES
ELIZABETH NJ
07207
US

V. Phone/Fax

Practice location:
  • Phone: 908-994-5000
  • Fax: 908-351-7930
Mailing address:
  • Phone: 908-994-5000
  • Fax: 908-351-7930

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number4301093035
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number25MA09266200
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: