Provider Demographics
NPI:1912983933
Name:HAUPT, HANS M (MD)
Entity Type:Individual
Prefix:
First Name:HANS
Middle Name:M
Last Name:HAUPT
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:826 MAIN ST
Mailing Address - Street 2:STE. 303
Mailing Address - City:PHOENIXVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19460-3900
Mailing Address - Country:US
Mailing Address - Phone:610-983-1561
Mailing Address - Fax:610-983-1569
Practice Address - Street 1:826 MAIN ST
Practice Address - Street 2:STE. 303
Practice Address - City:PHOENIXVILLE
Practice Address - State:PA
Practice Address - Zip Code:19460-3900
Practice Address - Country:US
Practice Address - Phone:610-983-1561
Practice Address - Fax:610-983-1569
Is Sole Proprietor?:No
Enumeration Date:2005-12-21
Last Update Date:2016-10-06
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Provider Licenses
StateLicense IDTaxonomies
PAMD042170E2086S0129X, 208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
No2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAE03362Medicare UPIN