Provider Demographics
NPI:1639246325
Name:HAUPT, DONALD NORMAN (MD)
Entity type:Individual
Prefix:DR
First Name:DONALD
Middle Name:NORMAN
Last Name:HAUPT
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:14 ELLIOTT AVE STE 4
Mailing Address - Street 2:SUITE 4
Mailing Address - City:BRYN MAWR
Mailing Address - State:PA
Mailing Address - Zip Code:19010-3412
Mailing Address - Country:US
Mailing Address - Phone:610-520-1782
Mailing Address - Fax:610-520-1783
Practice Address - Street 1:14 ELLIOTT AVE
Practice Address - Street 2:SUITE 4
Practice Address - City:BRYN MAWR
Practice Address - State:PA
Practice Address - Zip Code:19010-3412
Practice Address - Country:US
Practice Address - Phone:610-520-1782
Practice Address - Fax:610-520-1783
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-29
Last Update Date:2010-04-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD035753-L2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
B39889Medicare UPIN
PA149443Medicare ID - Type Unspecified