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Individual

KENT STEVEN HAAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
127 N BROAD ST, WOODBURY, NJ 08096-1718
(856) 845-0500
(856) 384-8757
Mailing address
127 N BROAD ST, WOODBURY, NJ 08096-1718
(856) 845-0500
(856) 384-8757

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
25MA06544900
NJ
208600000X
Surgery Physician
MD032074E
PA
2086S0129X
Vascular Surgery Physician
25MA06544900
NJ
2086S0129X
Vascular Surgery Physician
Primary
MD032074E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0012663940005
PA
01
0481883000
AMERIHEALTH
NJ
01
0501778000
AMERIHEALTH
PA
05
5508401
NJ
01
668781
HIGHMARK BLUE SHIELD
PA
01
713467
HORIZON BLUE SHIELD
NJ
Enumeration date
07/21/2006
Last updated
03/17/2018
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