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Individual

EDWARD HARBACK

Active
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Individual

EDWARD HARBACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
25MA05031200
NJ
207UN0901X
Nuclear Cardiology Physician
25MA05031200
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
010000348800
AMERICHOICE
01
0429576000
AMERIHEATLH
01
1K9391
HEALTHNET
01
2198907
GHI
01
34E091
WELLCHOICE
01
4507229
AETNA
05
5295602
NJ
01
6028624008
CIGNA
01
90593
AMERIGROUP
01
P1024454
OXFORD
Enumeration date
10/03/2005
Last updated
04/17/2024
Update your record

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