Provider Demographics
NPI:1881727378
Name:CRAIG T. HAYTMANEK, M.D., P.C.
Entity type:Organization
Organization Name:CRAIG T. HAYTMANEK, M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:T
Authorized Official - Last Name:HAYTMANEK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:610-868-5530
Mailing Address - Street 1:735 DELAWARE AVE
Mailing Address - Street 2:
Mailing Address - City:FOUNTAIN HILL
Mailing Address - State:PA
Mailing Address - Zip Code:18015-1171
Mailing Address - Country:US
Mailing Address - Phone:610-868-5530
Mailing Address - Fax:610-868-4174
Practice Address - Street 1:735 DELAWARE AVE
Practice Address - Street 2:
Practice Address - City:FOUNTAIN HILL
Practice Address - State:PA
Practice Address - Zip Code:18015-1171
Practice Address - Country:US
Practice Address - Phone:610-868-5530
Practice Address - Fax:610-868-4174
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-13
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty