Provider Demographics
NPI:1568156263
Name:HABERMAN, DAN (MD)
Entity Type:Individual
Prefix:MR
First Name:DAN
Middle Name:
Last Name:HABERMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 IRVING ST. NW
Mailing Address - Street 2:MEDSTAR WASHINGTON HOSPITAL CENTER, DEPT OF INTERVENSIO
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20010
Mailing Address - Country:US
Mailing Address - Phone:202-877-2988
Mailing Address - Fax:202-877-2715
Practice Address - Street 1:110 IRVING ST. NW
Practice Address - Street 2:MEDSTAR WASHINGTON HOSPITAL CENTER, DEPT OF INTERVENSIO
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20010
Practice Address - Country:US
Practice Address - Phone:202-877-2988
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-06
Last Update Date:2023-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program