Provider Demographics
NPI:1861461220
Name:HAUPTMAN, HOWARD W (MD)
Entity Type:Individual
Prefix:
First Name:HOWARD
Middle Name:W
Last Name:HAUPTMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1220B E JOPPA RD
Mailing Address - Street 2:SUITE 310
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21286-5813
Mailing Address - Country:US
Mailing Address - Phone:410-494-1888
Mailing Address - Fax:410-494-1008
Practice Address - Street 1:1220B E JOPPA RD
Practice Address - Street 2:SUITE 310
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21286-5813
Practice Address - Country:US
Practice Address - Phone:410-494-1888
Practice Address - Fax:410-494-1008
Is Sole Proprietor?:No
Enumeration Date:2006-03-16
Last Update Date:2020-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0031091207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD35458209OtherCAREFIRST BCBS MD REND #
MD104503OtherEMPLOYEE HEALTH PLANS
MD4286040OtherAETNA PPO/MGD CARE
MDF5970001OtherBS FEDERAL PROGRAM
MD110232916OtherRAILROAD MEDICARE
MD3200015OtherUNITED HC MIDATLANTIC
MD40895OtherMAMSI (ALL PLANS)
2703393OtherAETNA HMO
MD480961100Medicaid
MDF5970001OtherCAREFIRST BCBS NCA
4710055008OtherCIGNA
MDF5970001OtherCAREFIRST BCBS NCA
MD35458209OtherCAREFIRST BCBS MD REND #