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Individual

HARRY A HAGES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
215 OLD TAPPAN ROAD, OLD TAPPAN, NJ 07675
(201) 666-1000
(201) 666-7610
Mailing address
215 OLD TAPPAN ROAD, OLD TAPPAN PEDIATRICS, OLD TAPPAN, NJ 07675
(201) 666-1000
(201) 666-7610

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MA02659100
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
010026591NJ01
ANTHEM HEALTH
01
13346
USHC
01
1543264
UNITEDHLTHCR
01
221941517008
PRUDENTIAL
01
23737
MASTERCARE
05
2483505
NJ
01
4243977
AETNA
01
4334712003
CIGNA
01
701101
EMPIRE HLTHCR
01
80604
AMERIGROUP
01
998609
REFERRAL
01
BP038
OXFORD
01
F01392
F01392
Enumeration date
08/18/2006
Last updated
07/08/2007
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