Individual
PATRICIA M HAGGERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
42 E LAUREL RD, UDP #1800, STRATFORD, NJ 08084-1354
(856) 566-6843
(856) 566-6419
Mailing address
42 E LAUREL RD, UDP #1800, STRATFORD, NJ 08084-1354
(856) 566-6843
(856) 566-6419
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
26NN05941900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8721904
—
NJ
Enumeration date
10/19/2006
Last updated
02/17/2014
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