Bassam M Haddad in Jersey City - Specialist

Bassam M Haddad - NPI 1790784510

Bassam M Haddad is a Specialist in Jersey City, New Jersey. Bassam M Haddad practices all healthcare services and medical treatments related to Specialist. The NPI Number for Bassam M Haddad is 1790784510. The last update date is 2021-03-25.

Bassam M Haddad's current location address is 26 Greenville Ave, Jersey City, New Jersey. You can contact this provider via phone number 2013338222 and fax number 2013330095. The mailing address for Bassam M Haddad is 26 Greenville Ave, Jersey City, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Name Bassam M Haddad
Address 26 Greenville Ave, Jersey City, New Jersey
Phone Number 2013338222
Fax Number 2013330095
Sole Proprietor N
Credentials M.D

NPI Number Detail

NPI Number 1790784510
Provider Enumeration Date 2005-07-14
Last Updated Date 2021-03-25

Provider Mailing Address Detail

Address 26 Greenville Ave
City Jersey City
State New Jersey (NJ)
Post Code 73052608
Phone Number 2013338222
Fax Number 2013330095

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No MA03243600
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
3023702 NJ --

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FAQs about Bassam M Haddad

What is the unique 10-digit identifier code assigned to Bassam M Haddad by the Centers for Medicare & Medicaid Services?

The Bassam M Haddad has been issued the NPI (National Provider Identifier) 1790784510 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Can you provide the Bassam M Haddad's physical address?

The Bassam M Haddad is physically located at 26 Greenville Ave, in the city of Jersey City, NJ, with the postal code 73052608.

What is the Bassam M Haddad's specialty and taxonomy code?

The Bassam M Haddad's specialty is Specialist, and the corresponding taxonomy code is 174400000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1790784510 to Bassam M Haddad?

The Bassam M Haddad received its 1790784510 assignment from the Centers for Medicare & Medicaid Services on 2005-07-14.

As of what date were the Bassam M Haddad's details last updated?

The information pertaining to the Bassam M Haddad, including its address, specialty, and other details, was most recently updated on 2021-03-25.

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