Individual
MRS. GEORGETTE B. HAITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN,CD
Contact information
Practice address
2201 CHAPEL AVE W, CHERRY HILL, NJ 08002-2048
(856) 488-6789
(856) 488-6625
Mailing address
2201 CHAPEL AVE W, CHERRY HILL, NJ 08002-2048
(856) 488-6789
(856) 488-6625
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
26NO08551900
NJ
282N00000X
General Acute Care Hospital
26NO08551900
NJ
Other
Enumeration date
12/19/2011
Last updated
12/19/2011
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