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NPI Code Detail

MEDICARE: MR. GEORGE E WIDHSON HAF

MEDICARE:  MR. GEORGE E WIDHSON  HAF
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
1237700000XHearing Instrument Specialist2077PA

General Provider Information

NPI Number : 1801802624
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. GEORGE E WIDHSON HAF
Provider Business Mailing Address
First Line : 6224 RIDGE AVE
Second Line :
City : PHILA
State : PA
Zip : 19128-2631
Country : US
Telephone Number : 215-487-1050
Fax Number :
Provider Business Practice Location Address
First Line : 6224 RIDGE AVE
Second Line :
City : PHILA
State : PA
Zip : 19128-2631
Country : US
Telephone Number : 215-487-1050
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2006
Last Update Date : 07/08/2007

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Directions to “ MR. GEORGE E WIDHSON HAF” Practice Location

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