Basic Information
| Provider Information | |||||||||
| NPI: | 1912139080 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HADDAD | ||||||||
| FirstName: | ASHRAF | ||||||||
| MiddleName: | JAMAL | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 900 CATON AVENUE, BOX 207 | ||||||||
| Address2: | DEPARTMENT OF SURGERY | ||||||||
| City: | BALTIMORE | ||||||||
| State: | MD | ||||||||
| PostalCode: | 21229 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4103682718 | ||||||||
| FaxNumber: | 4109514007 | ||||||||
| Practice Location | |||||||||
| Address1: | 900 CATON AVENUE | ||||||||
| Address2: | DEPARTMENT OF SURGERY | ||||||||
| City: | BALTIMORE | ||||||||
| State: | MD | ||||||||
| PostalCode: | 21229 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4103682718 | ||||||||
| FaxNumber: | 4109514007 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/21/2009 | ||||||||
| LastUpdateDate: | 08/21/2009 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208600000X | P23625 | MD | Y | Allopathic & Osteopathic Physicians | Surgery |
No ID Information.