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 |
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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 |
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Provider Enumeration Date | 2005-07-14 |
Last Updated Date | 2021-03-25 |
Provider Mailing Address Detail
Address | 26 Greenville Ave |
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City | Jersey City |
State | New Jersey (NJ) |
Post Code | 73052608 |
Phone Number | 2013338222 |
Fax Number | 2013330095 |
Provider's Primary Taxonomy Detail
Speciality | Specialist |
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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 |
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3023702 | NJ | -- |
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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.