Individual
EDWARD HARBACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
741 NORTHFIELD AVE, STE 205, WEST ORANGE, NJ 07052-1174
(973) 467-1544
(973) 467-9586
Mailing address
741 NORTHFIELD AVE, STE 205, WEST ORANGE, NJ 07052-1174
(973) 467-1544
(973) 467-9586
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
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