Provider Demographics
NPI:1770649121
Name:HAUSER, DEBORAH G (RPH)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:G
Last Name:HAUSER
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1060 CARRIAGE LANE
Mailing Address - Street 2:
Mailing Address - City:BLUE BELL
Mailing Address - State:PA
Mailing Address - Zip Code:19422
Mailing Address - Country:US
Mailing Address - Phone:610-278-9809
Mailing Address - Fax:215-456-6485
Practice Address - Street 1:5501 OLD YORK ROAD
Practice Address - Street 2:PALEY BUILDING 1ST FLOOR ALBERT EINSTEIN MEDICAL CENTER
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19141
Practice Address - Country:US
Practice Address - Phone:215-456-6486
Practice Address - Fax:215-456-6485
Is Sole Proprietor?:No
Enumeration Date:2006-12-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP037433L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1007544140015Medicaid
PA1007544140015Medicaid