Individual
DR. RONALD JAY HABERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5170 US ROUTE 60, HUNTINGTON, WV 25705-2004
(304) 528-4600
Mailing address
10 HILLENDALE CT, HUNTINGTON, WV 25705-3745
(304) 521-2917
Taxonomy
Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
22756
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810009089
—
WV
01
—
P00396208
MEDICARE RAILROAD
—
Enumeration date
05/04/2006
Last updated
12/09/2010
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