Individual
FADY HADDAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7007 POWERS BLVD, PARMA, OH 44129-5437
(440) 743-3000
Mailing address
475 SEAVIEW AVE, STATEN ISLAND, NY 10305-3436
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
35.139606
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/04/2013
Last updated
01/12/2021
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