Healthcare Provider Details

I. General information

NPI: 1548290695
Provider Name (Legal Business Name): BYRON HAPNER DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/04/2006
Last Update Date: 07/15/2024
Certification Date: 07/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

445 HURFFVILLE CROSSKEYS RD STE A
SEWELL NJ
08080-2337
US

IV. Provider business mailing address

PO BOX 164
WENONAH NJ
08090-0164
US

V. Phone/Fax

Practice location:
  • Phone: 856-557-5573
  • Fax: 856-875-9556
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number25MB06105300
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: