Provider Demographics
NPI:1366445322
Name:HAAZ, WILLIAM S (MD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:S
Last Name:HAAZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:261 OLD YORK RD
Mailing Address - Street 2:STE 724
Mailing Address - City:JENKINTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19046-3706
Mailing Address - Country:US
Mailing Address - Phone:215-671-4280
Mailing Address - Fax:215-464-9034
Practice Address - Street 1:261 OLD YORK RD
Practice Address - Street 2:SUITE 214
Practice Address - City:JENKINTOWN
Practice Address - State:PA
Practice Address - Zip Code:19046-3706
Practice Address - Country:US
Practice Address - Phone:215-885-4700
Practice Address - Fax:215-885-6861
Is Sole Proprietor?:No
Enumeration Date:2005-05-24
Last Update Date:2015-06-16
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Provider Licenses
StateLicense IDTaxonomies
PAMD018061E207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0006004510005Medicaid
PAC29000Medicare UPIN
PA072493NYVMedicare ID - Type Unspecified