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Individual

ROBERT GERGES HADDAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
24152
AL
207R00000X
Internal Medicine Physician
Primary
28812
SC
207R00000X
Internal Medicine Physician
39383
TN
207R00000X
Internal Medicine Physician
ME92754
FL
207R00000X
Internal Medicine Physician
TL28812
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
192321
MEDCOST
SC
05
288129
SC
05
5905856
NC
01
7936430
AETNA
SC
05
HA009964930
AL
01
P00734661
RAIL ROAD MEDICARE
SC
Enumeration date
06/15/2005
Last updated
02/09/2023
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