MEDICARE: WILLIAM S. HAAZ M.D.

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	207RC0000X	Cardiovascular Disease Physician	MD018061E	PA

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

General Provider Information

NPI Number	:	1366445322
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM S. HAAZ M.D.

Provider Business Mailing Address
First Line	:	261 OLD YORK RD
Second Line	:	STE 724
City	:	JENKINTOWN
State	:	PA
Zip	:	19046-3706
Country	:	US
Telephone Number	:	215-671-4280
Fax Number	:	215-464-9034

Provider Business Practice Location Address
First Line	:	261 OLD YORK RD
Second Line	:	SUITE 214
City	:	JENKINTOWN
State	:	PA
Zip	:	19046-3706
Country	:	US
Telephone Number	:	215-885-4700
Fax Number	:	215-885-6861

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

Provider Enumeration Date	:	05/24/2005
Last Update Date	:	06/16/2015

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Directions to “ WILLIAM S. HAAZ M.D.” Practice Location

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