Individual
MS. TIFFANY R HADDAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
204 JACKSON ST APT 8, HOBOKEN, NJ 07030-7647
(215) 200-9200
Mailing address
204 JACKSON ST, UNIT 8, HOBOKEN, NJ 07030-7647
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
306677
NY
363LG0600X
Gerontology Nurse Practitioner
26NJ00346500
NJ
Other
Enumeration date
02/14/2011
Last updated
05/28/2015
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