Provider Demographics
NPI:1275501371
Name:HASZ, MICHAEL W (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:W
Last Name:HASZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1860 TOWN CENTER DR STE 180
Mailing Address - Street 2:
Mailing Address - City:RESTON
Mailing Address - State:VA
Mailing Address - Zip Code:20190-5905
Mailing Address - Country:US
Mailing Address - Phone:703-936-9474
Mailing Address - Fax:703-398-1511
Practice Address - Street 1:1860 TOWN CENTER DR STE 180
Practice Address - Street 2:
Practice Address - City:RESTON
Practice Address - State:VA
Practice Address - Zip Code:20190-5905
Practice Address - Country:US
Practice Address - Phone:703-936-9474
Practice Address - Fax:703-398-1511
Is Sole Proprietor?:No
Enumeration Date:2006-03-14
Last Update Date:2021-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101049392207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAG14915Medicare UPIN
VA013437N35Medicare ID - Type UnspecifiedMEDICARE ID #