MEDICARE: DR. MARY ANN HAFLIN 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	207Q00000X	Family Medicine Physician	MA025867	NJ

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	139714SBV	OTHER	NJ	MEDICARE ID TYPE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1982652731
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARY ANN HAFLIN MD

Provider Business Mailing Address
First Line	:	1200 NEW JERSEY AVE
Second Line	:
City	:	NORTH WILDWOOD
State	:	NJ
Zip	:	08260-2734
Country	:	US
Telephone Number	:	609-522-3131
Fax Number	:

Provider Business Practice Location Address
First Line	:	1200 NEW JERSEY AVE
Second Line	:
City	:	NORTH WILDWOOD
State	:	NJ
Zip	:	08260-2734
Country	:	US
Telephone Number	:	609-522-3131
Fax Number	:

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

Provider Enumeration Date	:	05/04/2006
Last Update Date	:	05/28/2009

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