Individual
DAFER W AL-HADDADIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
155 BORTHWICK AVE STE 202, PORTSMOUTH, NH 03801-7156
(603) 434-8733
(603) 433-8834
Mailing address
155 BORTHWICK AVE STE 202, PORTSMOUTH, NH 03801-7156
(603) 434-8733
(603) 433-8834
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
01068171
IN
207RI0200X
Infectious Disease Physician
2008004909
MO
207RI0200X
Infectious Disease Physician
MD38698
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200132160A
—
OK
05
—
200546850A
—
KS
05
—
200984520
—
IN
05
—
208360206
—
MO
01
—
221420
BLUES
—
01
—
P00467411
RAILROAD MEDICARE
—
Enumeration date
08/24/2005
Last updated
11/11/2023
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