Individual
DOUGLAS D HAGE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7020 ERIE RD, DERBY, NY 14047-9306
(716) 947-4545
(716) 947-6146
Mailing address
905 HARLEM RD, WEST SENECA, NY 14224-1066
(716) 825-1398
(716) 825-3834
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
188832
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010071602
UNIVERA HEALTHCARE
NY
01
—
000511489002
BC BS WNY
NY
01
—
000511489004
BC BS WNY
NY
05
—
01530221
—
NY
01
—
0707767
INDEPENDENT HEALTH
NY
Enumeration date
05/20/2006
Last updated
07/08/2007
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