Provider Demographics
NPI:1669701983
Name:HADAR, DEENA Z
Entity type:Individual
Prefix:MRS
First Name:DEENA
Middle Name:Z
Last Name:HADAR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1207 BURTON ST
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-2707
Mailing Address - Country:US
Mailing Address - Phone:301-588-5099
Mailing Address - Fax:
Practice Address - Street 1:1207 BURTON ST
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-2707
Practice Address - Country:US
Practice Address - Phone:301-588-5099
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-15
Last Update Date:2009-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula