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NPI Code Detail

MEDICARE: CHARLES GEORGE HADDAD M.D.

MEDICARE: CHARLES GEORGE HADDAD 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
1207V00000XObstetrics & Gynecology Physician25MA07197100NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
13725057OTHERNJAETNA
2P2744084OTHERNJOXFORD HEALTHCARE
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
46875X1OTHERNJEMPIRE BCBS
52333232000OTHERNJAMERIHEALTH
6MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
79400617OTHERNJCIGNA
81171476OTHERNJHORIZON NJ HEALTH

General Provider Information

NPI Number : 1750329538
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHARLES GEORGE HADDAD M.D.
Provider Business Mailing Address
First Line : 1033 US HIGHWAY 46
Second Line : SUITE 102
City : CLIFTON
State : NJ
Zip : 07013-2473
Country : US
Telephone Number : 973-779-7979
Fax Number : 973-779-7970
Provider Business Practice Location Address
First Line : 1033 US HIGHWAY 46
Second Line : SUITE 102
City : CLIFTON
State : NJ
Zip : 07013-2473
Country : US
Telephone Number : 973-779-7979
Fax Number : 973-779-7970
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2006
Last Update Date : 06/25/2020

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Directions to “ CHARLES GEORGE HADDAD M.D.” Practice Location

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