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Individual

IRA L HAIMOWITZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
40 BEY LEA ROAD, SUITE B203, TOMS RIVER, NJ 08753
(732) 341-0720
(732) 244-6842
Mailing address
40 BEY LEA ROAD, SUITE B203, TOMS RIVER, NJ 08753
(732) 341-0720
(732) 244-6842

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MB05127800
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00243
QUALCARE
01
01000166400
AMERICHOICE
01
038575
AMERIHEALTH PPO
01
0717177000
AMERIHEALTH HMO
01
1018796
HORIZON NJ HEALTH
01
1018797
HORIZON NJ HEALTH
01
1018799
HORIZON NJ HEALTH
01
10658011
CAQH
01
11482
AETNA HMO
01
15484
UNIVERSITY
01
2699919
GHI
01
31K613
WELL CHOICE
01
340Y72
WELL CHOICE
01
4372405
AETNA PPO
01
52152
CIGNA HMO
01
OK2985
HEALTHNET
01
PL400013
BCBS PPO
01
VP002
OXFORD
Enumeration date
07/07/2006
Last updated
07/08/2007
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