Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | 25MA04494900 | NJ |
N | 207RI0011X | Interventional Cardiology | 25MA04494900 | NJ |
NPI | 1023018520 |
---|---|
Provider Name | Dr. Bruce Joseph Haik |
First Address | Livington, NJ 07039 |
Second Address | Livingston, NJ 07039 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/07/2005 |
Last Update Date | 24/11/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1921304 | (05) | NJ |
A60679 | (02) | NJ |