Provider Demographics
NPI:1407933807
Name:HAITH, WILLIAM L JR (DO)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:L
Last Name:HAITH
Suffix:JR
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:360 US HIGHWAY 1 BYP UNIT 102
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03801-7105
Mailing Address - Country:US
Mailing Address - Phone:603-314-8872
Mailing Address - Fax:
Practice Address - Street 1:506 MAIN ST
Practice Address - Street 2:
Practice Address - City:SACO
Practice Address - State:ME
Practice Address - Zip Code:04072-1530
Practice Address - Country:US
Practice Address - Phone:207-571-7991
Practice Address - Fax:207-571-7990
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2023-11-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ME1661207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
930111747OtherRAILROAD MEDICARE
668382OtherTUFTS
G39672Medicare UPIN