Organization
JONATHAN HABER DPM PA
Active
Other names
Jonathan A Haber DPM
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHERYL A HUDSON CMA (OFFICE MANAGER)
(972) 228-5042
Entity
Organization
Contact information
Practice address
519 BLOOMFIELD AVE, SUITE L 18, CALDWELL, NJ 07006-5550
(973) 228-5042
(973) 228-2826
Mailing address
519 BLOOMFIELD AVE, SUITE L 18, CALDWELL, NJ 07006-5550
(973) 228-5042
(973) 228-2826
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
25MD00100400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0K3825
HEALTHNET PIN
NJ
01
—
8148782
CIGNA
NJ
01
—
P402424
OXFORD PIN
NJ
Enumeration date
06/18/2007
Last updated
07/17/2007
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