Provider Demographics
NPI:1104894435
Name:HAJJAR, JOHN H (MD)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:H
Last Name:HAJJAR
Suffix:
Gender:
Credentials:MD
Other - Prefix:
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Other - Middle Name:
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Mailing Address - Street 1:680 KINDERKAMACK RD STE 3
Mailing Address - Street 2:
Mailing Address - City:ORADELL
Mailing Address - State:NJ
Mailing Address - Zip Code:07649-1600
Mailing Address - Country:US
Mailing Address - Phone:201-803-2573
Mailing Address - Fax:201-791-6585
Practice Address - Street 1:176 PALISADE AVE STE 3E
Practice Address - Street 2:
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07306-1121
Practice Address - Country:US
Practice Address - Phone:201-803-2573
Practice Address - Fax:201-301-8892
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-11
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA04215700208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJLO3511262Medicare ID - Type Unspecified
C56585Medicare UPIN