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Individual

MISSAK HAIGENTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
195 LITTLE ALBANY ST, NEW BRUNSWICK, NJ 08901-1914
(732) 235-2465
Mailing address
210 NORTHWOODS DR, SOUTH ORANGE, NJ 07079-1123
(973) 762-0474

Taxonomy

Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
210614
NY
207RX0202X
Medical Oncology Physician
Primary
25MA06465800
NJ

Other

Enumeration date
10/17/2006
Last updated
11/04/2021
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