Provider Demographics
NPI:1003072109
Name:HABER, NORMAN N (VMD)
Entity Type:Individual
Prefix:
First Name:NORMAN
Middle Name:N
Last Name:HABER
Suffix:
Gender:M
Credentials:VMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:223 CEDARBROOK RD
Mailing Address - Street 2:
Mailing Address - City:SICKLERVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08081-9361
Mailing Address - Country:US
Mailing Address - Phone:856-629-7177
Mailing Address - Fax:
Practice Address - Street 1:223 CEDARBROOK RD
Practice Address - Street 2:
Practice Address - City:SICKLERVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08081-9361
Practice Address - Country:US
Practice Address - Phone:856-629-7177
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-29
Last Update Date:2008-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJNJVI02082174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian