Individual
DR. GLENN ROBERT HABER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
140 GRAND AVE, ENGLEWOOD, NJ 07631-6581
(201) 569-0212
(201) 569-7703
Mailing address
140 GRAND AVE, ENGLEWOOD, NJ 07631
(201) 569-0212
(201) 569-7703
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
MD01362
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1012002
—
NJ
Enumeration date
08/03/2006
Last updated
04/23/2008
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