Individual
BASSAM M HADDAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
26 GREENVILLE AVE, JERSEY CITY, NJ 07305-2608
(201) 333-8222
(201) 333-0095
Mailing address
26 GREENVILLE AVE, JERSEY CITY, NJ 07305-2608
(201) 333-8222
(201) 333-0095
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MA03243600
NJ
207RN0300X
Nephrology Physician
Primary
MA03243600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3023702
—
NJ
Enumeration date
07/14/2005
Last updated
05/08/2024
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