Individual
DR. JAMES M HAGGERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
521 ASH STREET, DUNMORE, PA 18510
(570) 347-4420
(570) 347-4732
Mailing address
521 ASH STREET, DUNMORE, PA 18510
(570) 347-4420
(570) 347-4732
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC002732L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010023780003
—
PA
01
—
148073
UNISON
PA
01
—
20885
GEISINGER
—
01
—
817398
FIRST PRIORITY
—
Enumeration date
04/28/2006
Last updated
03/10/2017
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