Individual
CAITLIN SMITH HAXEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3959 BROADWAY, NEW YORK, NY 10032-1559
(212) 305-5437
Mailing address
392 CENTRAL PARK W, APT 11V, NEW YORK, NY 10025-5860
(610) 304-8248
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
042-0014545
VT
2080P0202X
Pediatric Cardiology Physician
268978
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/28/2011
Last updated
01/09/2020
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