Individual
MR. ERIC J HAACKE-GOLDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 HAYDENPARK LN STE 300, HENRICO, VA 23233-7867
(804) 998-1600
(804) 998-1601
Mailing address
3400 HAYDENPARK LN STE 300, HENRICO, VA 23233-7867
(804) 998-1600
(804) 323-1276
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101228662
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5640938
—
VA
01
—
C08279
MEDICARE PTAN
—
Enumeration date
09/30/2005
Last updated
04/23/2024
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