Active NPIIndividual providerSole proprietor

Jerry L Haag, MD

Family Medicine in Elmer, New Jersey

NPI Number1699717165
Practice location
350 Front St, Elmer, NJ 08318-2143
Fax
856-358-1305
Last updated
November 19, 2009

Jerry L. Haag is a Family Medicine based in Elmer, NJ. Jerry L. Haag practices in Elmer, NJ and has the professional credentials of MD. The NPI Number for Jerry L. Haag is 1699717165 and holds a License No. 25MA02782500 (NJ). The current practice location address for Jerry L. Haag is 350 Front St, Elmer, NJ 08318-2143 and can be reached out via phone at 856-358-8113 and via fax at 856-358-1305.

Provider Profile Details

NPI Number
1699717165
Provider Name
Jerry L. Haag
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
350 Front St, Elmer, NJ 08318-2143
Phone Number
856-358-8113
Fax Number
856-358-1305
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
Yes
Provider Enumeration Date
June 11, 2006
Last Update Date
November 19, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
350 Front St
Elmer, NJ 08318-2143
City
Elmer
Zip
08318-2143
Phone Number
856-358-8113
Fax Number
856-358-1305
Elmer, NJ 08318Get directions →

Provider Business Mailing Address Details

Address
350 Front St
Elmer, NJ 08318-2143
City
Elmer
State
NJ
Zip
08318-2143
Phone Number
856-358-8113
Fax Number
856-358-1305

License Information

License Number
25MA02782500
License State
NJ
Taxonomy
Family Medicine · 207Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jerry L Haag, MD?

The NPI number of Jerry L Haag, MD is 1699717165. It was assigned on June 11, 2006 and is currently active in the NPPES registry.

What is the specialty of Jerry L Haag, MD?

Jerry L Haag, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in NJ under license number 25MA02782500.

Where does Jerry L Haag, MD practice?

The practice location is 350 Front St, Elmer, NJ 08318-2143. The office can be reached at 856-358-8113 (phone) or 856-358-1305 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1699717165 directly on the NPPES registry website.

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