| Doctor Name: | PATRICIA M HAGGERTY |
| NPI Number: | 1073695391 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APN |
| License Number: | 26NN05941900 |
| Business Practice Address: | 42 E Laurel Rd Udp #1800 Stratford, NJ - 080841354 |
| Business Phone Number: | 8565666843 |
| Business Fax Number: | 8565666419 |
| Mailing Address: | 42 E Laurel Rd, Udp #1800 STRATFORD |
| State: | NJ |
| Postal Code: | 080841354 |
| Phone Number: | 8565666843 |
| Fax Number: | 8565666419 |
| NPI Enumeration Date: | 10/19/2006 |
| NPI Last Update Date: | 02/17/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LG0600X |
| License Number: | 26NN05941900 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Gerontology |
| Taxonomy Definition: | |