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CHARLES HADDAD MD NPI 1952705410


NPI Information

NPI: 1952705410
Provider Name: CHARLES HADDAD, MD
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
1033 ROUTE 46
SUITE 102
CLIFTON, NJ
ZIP 07013
Phone: (973) 779-7979
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CHARLES HADDAD, MD is an obstetrics gynecology in Clifton, NJ. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. CHARLES HADDAD, MD NPI is 1952705410. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1033 ROUTE 46
SUITE 102
CLIFTON, NJ
ZIP 07013-473
Phone: (973) 779-7979
Fax: (973) 779-7970

The provider's authorized official is Charles Haddad .
The authorized official title is Owner and has the following contact phone number (973) 216-4953.

The enumeration date for this NPI number is 10/13/2014 and was last updated on 10/3/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207V00000XObstetrics & Gynecology25MA071971NEW JERSEYNo
2207VM0101XObstetrics & GynecologyMaternal & Fetal MedicineNo
3363A00000XPhysician AssistantNo
4363LW0102XNurse PractitionerWomen's HealthNo
5207V00000XObstetrics & GynecologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10580139MEDICAIDNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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