Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207SG0201X | Clinical Genetics (M.D.) | MD044765 | DC |
N | 207V00000X | Obstetrician & Gynecologist | MD044765 | DC |
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 25MA11201000 | NJ |
N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | MD044765 | DC |
NPI | 1275974784 |
---|---|
Provider Name | Dr. Andrew Haddad |
First Address | Hackensack, NJ 07601-1962 |
Second Address | Hackensack, NJ 07601-1962 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/07/2013 |
Last Update Date | 16/08/2021 |