MEDICARE: MR. EDUARDO S HADDAD 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
1	207RN0300X	Nephrology Physician	46060	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	706045	OTHER	MA	TUFTS HEALTH CARE
3	B26244	OTHER	MA	BLUE CROSS

General Provider Information

NPI Number	:	1124113022
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. EDUARDO S HADDAD MD

Provider Business Mailing Address
First Line	:	35 UNITED DRIVE
Second Line	:	SUITE 102
City	:	WEST BRIDGEWATER
State	:	MA
Zip	:	02379-1027
Country	:	US
Telephone Number	:	508-238-8646
Fax Number	:

Provider Business Practice Location Address
First Line	:	575 TURNPIKE ST STE 17
Second Line	:
City	:	NORTH ANDOVER
State	:	MA
Zip	:	01845-5937
Country	:	US
Telephone Number	:	978-686-4343
Fax Number	:	978-682-5191

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/04/2006
Last Update Date	:	12/22/2020

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Directions to “ MR. EDUARDO S HADDAD MD” Practice Location

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