Individual
DR. ROBERT GUSTAV HAAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
900 W VALLEY RD STE 601, WAYNE, PA 19087-1825
(610) 688-3433
(610) 688-2456
Mailing address
32 CLOVER LN, MALVERN, PA 19355-2867
(610) 688-3433
(610) 688-2456
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
27OA00563700
NJ
152W00000X
Optometrist
I3-0001257
DE
152W00000X
Optometrist
Primary
OEG000298
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01757365
—
PA
Enumeration date
06/09/2006
Last updated
09/08/2010
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