Individual
GERARD JOSEPH HAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
12100 BLACK SWAN DRIVE, SUITE 201, LEWES, DE 19958-4988
(302) 644-3311
(302) 644-3300
Mailing address
211 EXECUTIVE DR STE 11, NEWARK, DE 19702-3358
(302) 451-6913
(302) 368-7756
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C50000346
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000017128
—
DE
01
—
1184681488
COMMERCIAL INSURANCES
—
Enumeration date
05/15/2006
Last updated
01/23/2020
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