Organization
BASSAM HAFFAR INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BASSAM HAFFAR MD (OWNER)
(304) 395-3332
Entity
Organization
Contact information
Practice address
117 7TH AVE, S CHARLESTON, WV 25303-1417
(304) 395-3332
Mailing address
6 WOODCREST LN, CHARLESTON, WV 25314-2472
(304) 395-3332
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007894724
AETNA
—
01
—
001751446
MOUNTAIN STATE BCBS
—
01
—
304841
ADVANTRA FREEDOM COVERNTRY
—
05
—
3810010229
—
WV
01
—
41204900C2
OPTIMUM CHOICE
—
01
—
65610
UNICARE
—
01
—
89M935491WV01
ANTHEM BCBS
—
01
—
DD3845
RAILROAD MEDICARE
—
Enumeration date
05/21/2007
Last updated
05/19/2008
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