Organization
BASSAM M HADDAD, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BASSAM M HADDAD M.D (PRESIDENT)
(201) 333-8222
Entity
Organization
Contact information
Practice address
26 GREENVILLE AVE, JERSEY CITY, NJ 07305-2608
(201) 333-8222
Mailing address
26 GREENVILLE AVE, JERSEY CITY, NJ 07305-2608
(201) 333-8222
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7402503
—
NJ
Enumeration date
05/17/2007
Last updated
12/19/2016
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