Individual
AHMAD JOHN HADDAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
370 HWY 35, STE 101, RED BANK, NJ 07701-5922
(732) 758-0048
(732) 758-0052
Mailing address
PO BOX 8519, RED BANK, NJ 07701-8519
(732) 460-9840
(732) 460-9848
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0312703
—
NJ
01
—
0K4751
HEALTH NET
NJ
01
—
67D161
EMPIRE BCBS
NY
01
—
8484199
CIGNA HEALTHCARE
NJ
01
—
875522
AETNA HMO
—
01
—
MP173
OXFORD HEALTH PLANS
NJ
Enumeration date
11/18/2005
Last updated
07/13/2007
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