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NPI Code Detail

MEDICARE: GARRET M HAUPTMAN DC

MEDICARE: GARRET M HAUPTMAN DC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractorDC8616PA

General Provider Information

NPI Number : 1518927243
Entity Type Code : Individual
Provider Name (Legal Business Name) : GARRET M HAUPTMAN DC
Provider Business Mailing Address
First Line : 2601 PENNSYLVANIA AVE
Second Line : UNIT C6
City : PHILADELPHIA
State : PA
Zip : 19130-2348
Country : US
Telephone Number : 215-564-4880
Fax Number : 215-564-4890
Provider Business Practice Location Address
First Line : 2601 PENNSYLVANIA AVE
Second Line : UNIT C6
City : PHILADELPHIA
State : PA
Zip : 19130-2348
Country : US
Telephone Number : 215-564-4880
Fax Number : 215-564-4890
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2006
Last Update Date : 03/01/2011

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Directions to “ GARRET M HAUPTMAN DC” Practice Location

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