Haddad, Bassam M

Haddad, Bassam M is an individual health care provider with primary practice located at 26 Greenville Ave , Jersey City NJ 07305-2608. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Haddad, Bassam M can be contacted via phone (201) 333-8222.

Contact Information

Primary practice address
26 Greenville Ave Jersey City NJ 07305-2608
Phone: (201) 333-8222
Fax: (201) 333-0095
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MA03243600 New Jersey
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X MA03243600 New Jersey

Profile Details

NPI number 1790784510
LBN Legal business name Haddad, Bassam M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2005
Last updated May 8th, 2024 - about 7 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790784510 NPPES
New Jersey MEDICAID 3023702

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