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HABERMAN, JACK
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This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
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| Practice Address: |
216 PALMER STREET
ELIZABETH NJ 07208
Address last updated on 5/11/2010 |
| Phone #: |
(908) 820-0007 |
| Fax #: |
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| County: |
NOT OKLAHOMA |
| License: |
12169 |
| Dated: |
4/25/1979 |
| Expires: |
4/1/2004 |
| License Type: |
Medical Doctor |
| Specialty: |
Other Specialty
Legal Medicine
Occupational Medicine
Family Medicine |
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| Status: |
Inactive |
| Status Class: |
Physician Emeritus |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
Univ Di Bologna, Fac Di Med E Chirurgia, Bologna, Italy |
| Graduated: |
2 /
1970 |
| CME Year: |
2004 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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| Certifications: |
AMERICAN BOARD OF FAMILY MEDICINE |
| New Patients: |
Contact licensee |
| Medicaid: |
Contact licensee |
| Medicare: |
Contact licensee |
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| HMO/PPO: |
None listed |
| Hospital Privileges: |
None listed |
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