Provider Demographics
NPI:1326676669
Name:HABER, DANIEL ALAN
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:ALAN
Last Name:HABER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:84 MARGINAL WAY STE 800
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04101-2475
Mailing Address - Country:US
Mailing Address - Phone:914-960-1888
Mailing Address - Fax:
Practice Address - Street 1:84 MARGINAL WAY STE 800
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04101-2475
Practice Address - Country:US
Practice Address - Phone:914-960-1888
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-31
Last Update Date:2025-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEMD293862081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine