Organization
FADI G. HADDAD, MD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FADI G. HADDAD MD (PRESIDENT)
(925) 975-0775
Entity
Organization
Contact information
Practice address
1455 MONTEGO,, SUITE 101, WALNUT CREEK, CA 94598
(925) 975-0775
(925) 975-0777
Mailing address
1455 MONTEGO,, SUITE 101, WALNUT CREEK, CA 94598
(925) 975-0775
(925) 975-0777
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
C51575
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C515750
—
CA
01
—
C51575
STATE LICENSE
CA
Enumeration date
11/16/2007
Last updated
07/02/2009
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