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Individual

LINDA A. HAEGELE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
9600 ROOSEVELT BLVD STE 301, PHYSICIAN ONCOLOGY, LTD, PHILADELPHIA, PA 19115
(215) 677-5500
(215) 677-7280
Mailing address
9600 ROOSEVELT BLVD, STE 301, PHILADELPHIA, PA 19115-3932
(215) 677-5500
(215) 677-7280

Taxonomy

Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
Primary
MD016271E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
603382
PA
05
603382004
PA
Enumeration date
08/18/2005
Last updated
01/05/2012
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