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Organization

OLD TAPPAN PEDIATRICS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. HARRY A HAGES M.D. (PRESIDENT)
(201) 666-1000
Entity
Organization

Contact information

Practice address
215 OLD TAPPAN RD, OLD TAPPAN, NJ 07675-7000
(201) 666-1000
(201) 666-7610
Mailing address
215 OLD TAPPAN RD, OLD TAPPAN, NJ 07675-7000
(201) 666-1000
(201) 666-7610

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Enumeration date
08/05/2006
Last updated
08/22/2020
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