Basic Information
Provider Information
NPI: 1033270558
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HAAR
FirstName: RICHARD
MiddleName: H
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2101 E JEFFERSON ST
Address2: KAISER PERMANENTE MEDICARE ENROLLMENT
City: ROCKVILLE
State: MD
PostalCode: 208524908
CountryCode: US
TelephoneNumber: 3018167405
FaxNumber:  
Practice Location
Address1: 1447 YORK RD STE 100
Address2: KAISER PERMANENTE TOWSON MEDICAL CENTER
City: LUTHERVILLE
State: MD
PostalCode: 210936038
CountryCode: US
TelephoneNumber: 4103395500
FaxNumber:  
Other Information
ProviderEnumerationDate: 12/12/2006
LastUpdateDate: 12/06/2012
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2085R0202XMD035254DCN Allopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
2085R0202X0101237422VAN Allopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
2085R0202XD29107MDY Allopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology

No ID Information.


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