Individual
DR. HAITHAM R DIB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
436 CHRIS GAUPP DR, STE 204, GALLOWAY, NJ 08205-4487
(609) 652-0100
(609) 652-7616
Mailing address
436 CHRIS GAUPP DR, STE 204, GALLOWAY, NJ 08205-4487
(609) 652-0100
(609) 652-7616
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
25MA05648300
NJ
Other
Enumeration date
10/05/2006
Last updated
04/18/2014
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