Provider Demographics
NPI:1013193663
Name:HAUG, WILLIAM ALLEN III (DO)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:ALLEN
Last Name:HAUG
Suffix:III
Gender:M
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:11 ROBINSON STREET
Mailing Address - Street 2:SUITE 100
Mailing Address - City:POTTSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19464-6439
Mailing Address - Country:US
Mailing Address - Phone:610-326-9460
Mailing Address - Fax:610-326-2432
Practice Address - Street 1:11 ROBINSON STREET
Practice Address - Street 2:SUITE 100
Practice Address - City:POTTSTOWN
Practice Address - State:PA
Practice Address - Zip Code:19464-6439
Practice Address - Country:US
Practice Address - Phone:610-326-9460
Practice Address - Fax:610-326-2432
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-14
Last Update Date:2011-02-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAOS002854L208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAC32554Medicare UPIN