Individual
CHARLES GEORGE HADDAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1033 US HIGHWAY 46, SUITE 102, CLIFTON, NJ 07013-2473
(973) 779-7979
(973) 779-7970
Mailing address
1033 US HIGHWAY 46, SUITE 102, CLIFTON, NJ 07013-2473
(973) 779-7979
(973) 779-7970
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
25MA07197100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1171476
HORIZON NJ HEALTH
NJ
01
—
2333232000
AMERIHEALTH
NJ
01
—
3725057
AETNA
NJ
01
—
62251
AMERIGROUP MEDICAID HMO
NJ
01
—
6875X1
EMPIRE BCBS
NJ
05
—
8682003
—
NJ
01
—
9400617
CIGNA
NJ
01
—
P2744084
OXFORD HEALTHCARE
NJ
Enumeration date
06/03/2006
Last updated
06/25/2020
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