Individual
DR. KATHLEEN ANN HAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
30 PROSPECT AVE, WFAN-IMUS BLDG., HACKENSACK, NJ 07601-1914
(551) 996-5306
(201) 996-9815
Mailing address
30 PROSPECT AVE, WFAN-IMUS BLDG., HACKENSACK, NJ 07601-1914
(551) 996-5306
(201) 996-9815
Taxonomy
Speciality
Code
Description
License number
State
2080P0201X
Pediatric Allergy/Immunology Physician
128013
NY
2080P0201X
Pediatric Allergy/Immunology Physician
25MA07289900
NJ
2080P0216X
Pediatric Rheumatology Physician
128013
NY
2080P0216X
Pediatric Rheumatology Physician
Primary
25MA07289900
NJ
Other
Enumeration date
05/23/2006
Last updated
05/05/2017
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