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NPI Code Detail

MEDICARE: BRUCE G HAFFTY MD

MEDICARE: BRUCE G HAFFTY MD
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
12085R0001XRadiation Oncology Physician027674CT
22085R0001XRadiation Oncology Physician25MA07886100NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1033108782
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRUCE G HAFFTY MD
Provider Business Mailing Address
First Line : 66 W GILBERT ST
Second Line : 2ND FLOOR
City : TINTON FALLS
State : NJ
Zip : 07701-4947
Country : US
Telephone Number : 732-212-0051
Fax Number : 732-212-0713
Provider Business Practice Location Address
First Line : 195 LITTLE ALBANY ST
Second Line : THE CANCER INSTITUTE OF NEW JERSEY ROOM 2006
City : NEW BRUNSWICK
State : NJ
Zip : 08901-1914
Country : US
Telephone Number : 732-235-5203
Fax Number : 732-235-7493
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2005
Last Update Date : 10/13/2022

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Directions to “ BRUCE G HAFFTY MD” Practice Location

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