| David S. Haacker Md Pc | |
|
443 Northfield Ave Suite # 301 West Orange NJ 07052-3093 | |
| (973) 731-0203 | |
| Not Available |
| Full Name | David S. Haacker Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 443 Northfield Ave, West Orange, New Jersey |
| Authorized Official Name and Position | Joana Almeida (CREDENTIAL SPECIALIST) |
| Authorized Official Contact | 9732918442 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| David S. Haacker Md Pc Po Box 2621 Secaucus NJ 07096-2621 Ph: (973) 731-0203 | David S. Haacker Md Pc 443 Northfield Ave Suite # 301 West Orange NJ 07052-3093 Ph: (973) 731-0203 |
| NPI Number | 1669624060 |
|---|---|
| Provider Enumeration Date | 10/16/2008 |
| Last Update Date | 08/24/2010 |
| Medicare PECOS PAC ID | 0446318513 |
|---|---|
| Medicare Enrollment ID | O20081017000274 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669624060 | NPI | - | NPPES |
| 2010305 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 25MA04966800 (New Jersey) | Primary |
| Provider Name | David S Haacker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902879000 PECOS PAC ID: 4880628296 Enrollment ID: I20050926000118 |
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