Provider Demographics
NPI:1548256555
Name:HAUBER, PETER J (MD)
Entity type:Individual
Prefix:DR
First Name:PETER
Middle Name:J
Last Name:HAUBER
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 1:950 2ND AVE
Mailing Address - Street 2:ALLEGHENY COUNTY JAIL
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15219-3100
Mailing Address - Country:US
Mailing Address - Phone:412-350-2000
Mailing Address - Fax:
Practice Address - Street 1:950 2ND AVE
Practice Address - Street 2:ALLEGHENY COUNTY JAIL
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15219-3100
Practice Address - Country:US
Practice Address - Phone:412-350-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-09-26
Last Update Date:2016-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD033908E2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1222308Medicaid
PA1222308Medicaid
PA1222308Medicaid