# CHARLES HADDAD, MD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952705410
- **Authorized official:** DR. CHARLES HADDAD M.D. (OWNER)
- **Authorized official phone:** (973) 216-4953

## Contact information

- **Practice address:** 1033 ROUTE 46, SUITE 102, CLIFTON, NJ 07013-2473
- **Practice address phone:** (973) 779-7979
- **Practice address fax:** (973) 779-7970
- **Mailing address:** 1033 ROUTE 46, SUITE 102, CLIFTON, NJ 07013-2473
- **Mailing address phone:** (973) 779-7979
- **Mailing address fax:** (973) 779-7970

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 25MA071971 | NJ | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |
| 207VM0101X | Maternal & Fetal Medicine Physician | — | NULL | — |
| 207VM0101X | Maternal & Fetal Medicine Physician | — | — | — |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363LW0102X | Women's Health Nurse Practitioner | — | NULL | — |
| 363LW0102X | Women's Health Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 10/13/2014
- **Last updated:** 10/03/2022