Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0105X | Surgery of the Hand | 25MA02175200 | NJ |
NPI | 1780697698 |
---|---|
Provider Name | Alexander Haselkorn |
First Address | Paterson, NJ 07514-1353 |
Second Address | Paterson, NJ 07514-1353 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/08/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01000062500 | AMERICHOICE (01) | NJ |
1042506 | HORIZON NJ HEALTH (01) | NJ |
10590 | AMERIGROUP (01) | NJ |
12124 | UNIVERSITY HEALTH PLAN (01) | NJ |
2911205 | (05) | NJ |
4093613 | AETNA (01) | NJ |
63409 | WELL CHOICE (01) | NJ |
C56166 | (02) | NJ |
D59953 | AMERIHEALTH (01) | NJ |
OK7331 | HEALTH NET (01) | NJ |
P2564958 | OXFORD (01) | NJ |