| Hauptman Family Health Center Pc | |
|
2601 Pennsyvania Avenue Unit C6 Philadelphia PA 19130-3212 | |
| (215) 564-4880 | |
| (215) 564-4890 |
| Full Name | Hauptman Family Health Center Pc |
|---|---|
| Speciality | Chiropractor |
| Location | 2601 Pennsyvania Avenue, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Garret M Hauptman (PRESIDENT) |
| Authorized Official Contact | 2155644880 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hauptman Family Health Center Pc 2601 Pennsyvania Avenue Unit C6 Philadelphia PA 19130-3212 Ph: (215) 564-4880 | Hauptman Family Health Center Pc 2601 Pennsyvania Avenue Unit C6 Philadelphia PA 19130-3212 Ph: (215) 564-4880 |
| NPI Number | 1598724817 |
|---|---|
| Provider Enumeration Date | 03/23/2006 |
| Last Update Date | 03/07/2011 |
| Medicare PECOS PAC ID | 0244241958 |
|---|---|
| Medicare Enrollment ID | O20060509000893 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598724817 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | OS002602L (Pennsylvania) | Secondary |
| 111N00000X | Chiropractor | DC8616 (Pennsylvania) | Primary |
| Provider Name | Stephen P Hauptman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922068634 PECOS PAC ID: 4688685399 Enrollment ID: I20060510000053 |
| Provider Name | Garret M Hauptman |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1518927243 PECOS PAC ID: 1052322765 Enrollment ID: I20060510000132 |
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