Individual
GEORGE A HADDAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3800 DELAWARE AVE, SUITE 100, KENMORE, NY 14217
(716) 876-3737
(716) 447-0627
Mailing address
3800 DELAWARE AVE, SUITE 100, KENMORE, NY 14217
(716) 876-3737
(716) 447-0627
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
189835
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00020500901
UNIVERA
NY
01
—
000511495006
COMMUNITY BLUE
NY
01
—
0407894
IHA
NY
Enumeration date
01/03/2007
Last updated
07/08/2007
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