Provider Demographics
NPI:1881786523
Name:HAHN, ROBERT DOUGLAS (MD)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:DOUGLAS
Last Name:HAHN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:R
Other - Middle Name:DOUGLAS
Other - Last Name:HAHN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 518
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:08848
Mailing Address - Country:US
Mailing Address - Phone:908-995-9555
Mailing Address - Fax:908-995-4500
Practice Address - Street 1:10 BRIDGE STREET
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:NJ
Practice Address - Zip Code:08848
Practice Address - Country:US
Practice Address - Phone:908-995-9555
Practice Address - Fax:908-995-4500
Is Sole Proprietor?:No
Enumeration Date:2006-09-29
Last Update Date:2008-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ49173207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
B77772Medicare UPIN
NJ0571790001Medicare NSC
NJ584004Medicare PIN