Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | D0032407 | MD |
NPI | 1013098870 |
---|---|
Provider Name | Joseph M Haggerty |
First Address | Rockville, MD 20850-3348 |
Second Address | Rockville, MD 20850-3348 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/10/2006 |
Last Update Date | 09/06/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
429931100 | (05) | MD |
602958A96 | MEDICARE (01) | DC |
D51910 | (02) |