Organization
DAVID S. HAACKER MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOANA ALMEIDA (CREDENTIAL SPECIALIST)
(973) 291-8442
Entity
Organization
Contact information
Practice address
443 NORTHFIELD AVE, SUITE # 301, WEST ORANGE, NJ 07052-3093
(973) 731-0203
Mailing address
PO BOX 2621, SECAUCUS, NJ 07096-2621
(973) 731-0203
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA04966800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2010305
—
NJ
Enumeration date
10/16/2008
Last updated
08/24/2010
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