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General NPI Number Information
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NPI Number | 1730480278
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Entity Type | Organization
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Legal Business Name | HADE EYE CARE LLC
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Dates
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Enumeration Date | 11/16/2010
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Last Update Date | 12/27/2010
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Provider Practice Location Address
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Address Line | 1 INDIAN RD SUITE 9
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City | DENVILLE
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State | NJ
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Zip | 07834-2051
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Country | US
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Telephone | 973-586-2188
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Fax | 973-586-2218
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Provider Business Mailing Address
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Address Line | 1 INDIAN RD SUITE 9
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City | DENVILLE
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State | NJ
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Zip | 07834-2051
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Country | US
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Telephone | 973-586-2188
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Fax | 973-586-2218
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Authorized Official
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Title or Position | OWNER
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Name | JASON HADE
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Credential | MD
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Telephone | 201-572-3625
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 25MA08390900
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License Number State | NJ
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