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NPI Code Detail

MEDICARE: DR. BASEL ALHADDAD M.D.

MEDICARE:  DR. BASEL  ALHADDAD  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
1207RI0011XInterventional Cardiology Physician248285NY

General Provider Information

NPI Number : 1487741120
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BASEL ALHADDAD M.D.
Provider Business Mailing Address
First Line : 8407 10TH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11228-3201
Country : US
Telephone Number : 347-733-3255
Fax Number : 718-491-2007
Provider Business Practice Location Address
First Line : 466 BAY RIDGE AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11220-5906
Country : US
Telephone Number : 718-491-2003
Fax Number : 718-491-2007
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/06/2006
Last Update Date : 04/03/2023

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Directions to “ DR. BASEL ALHADDAD M.D.” Practice Location

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