Individual
JOSEPH HADDAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
419 RAHWAY AVE, ELIZABETH, NJ 07202-2307
(908) 353-3790
Mailing address
1628 E 3RD ST, BROOKLYN, NY 11230-6903
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
059770
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/11/2017
Last updated
04/19/2023
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