Healthcare Provider Details

I. General information

NPI: 1861461220
Provider Name (Legal Business Name): HOWARD W HAUPTMAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/16/2006
Last Update Date: 09/04/2020
Certification Date: 09/04/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1220B E JOPPA RD SUITE 310
BALTIMORE MD
21286-5813
US

IV. Provider business mailing address

1220B E JOPPA RD SUITE 310
BALTIMORE MD
21286-5813
US

V. Phone/Fax

Practice location:
  • Phone: 410-494-1888
  • Fax: 410-494-1008
Mailing address:
  • Phone: 410-494-1888
  • Fax: 410-494-1008

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License NumberD0031091
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: