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Individual

DAVID J HAIDAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
8926 WOODYARD RD, STE 201, CLINTON, MD 20735-4231
(301) 868-7911
(301) 868-2285
Mailing address
8926 WOODYARD RD, STE 201, CLINTON, MD 20735-4231
(301) 868-7911
(301) 868-2285

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
D0017605
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
004052732
AETNA MNG
05
022118900
DC
01
02810004
BC/BS OF DC
DC
01
04701
AMERICAID
01
058810
TRIGON
01
086401
CIGNA
05
20096 1700
MD
01
3000017
UNITED HEALTHCARE
01
32300002
BC/BS OF MD - CLINTON
01
32300003
BC/BS OF MD - GREENBELT
01
324510
MAMSI
01
481545
AETNA HMO
01
493216
HEALTHLINK
01
830001307
RR MEDICARE
01
830004072
RR MEDICARE
01
B6480002
BC/BS OF DC
DC
Enumeration date
06/23/2005
Last updated
05/15/2008
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