Organization
HAITHAM R. DIB M.D. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HAITHAM RIAD DIB MD (DOCTOR/OWNER)
(609) 652-0100
Entity
Organization
Contact information
Practice address
436 CHRIS GAUPP DR, SUITE 204, GALLOWAY, NJ 08205-4487
(609) 652-0100
(609) 652-7616
Mailing address
436 CHRIS GAUPP DR, SUITE 204, GALLOWAY, NJ 08205-4487
(609) 652-0100
(609) 652-7616
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
NJ
Other
Enumeration date
09/27/2006
Last updated
04/22/2014
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