Provider Demographics
NPI:1932229325
Name:HAUG, RICHARD PATRICK (MD)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:PATRICK
Last Name:HAUG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:RICKY
Other - Middle Name:
Other - Last Name:HAUG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:413 W CYPRESS ST
Mailing Address - Street 2:
Mailing Address - City:KENNETT SQUARE
Mailing Address - State:PA
Mailing Address - Zip Code:19348-3009
Mailing Address - Country:US
Mailing Address - Phone:610-612-9283
Mailing Address - Fax:610-320-2009
Practice Address - Street 1:413 W CYPRESS ST
Practice Address - Street 2:
Practice Address - City:KENNETT SQUARE
Practice Address - State:PA
Practice Address - Zip Code:19348-3009
Practice Address - Country:US
Practice Address - Phone:610-612-9283
Practice Address - Fax:610-320-2009
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-30
Last Update Date:2017-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD436484207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine