Organization
UROLOGY SPECIALTY CARE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN H HAJJAR MD (MD)
(201) 791-4544
Entity
Organization
Contact information
Practice address
15-01 BROADWAY RT 4 WEST, STE 1 & 3, FAIR LAWN, NJ 07410
(201) 791-4544
(201) 791-4544
Mailing address
15-01 BROADWAY RT 4 WEST, STE 1 & 3, FAIR LAWN, NJ 07410
(201) 791-4544
(201) 794-6970
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
2085R0001X
Radiation Oncology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
208800000X
Urology Physician
Primary
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7586205
—
NJ
Enumeration date
03/27/2006
Last updated
04/26/2011
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