Individual
DR. CRAIG T HAYTMANEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
735 DELAWARE AVE, FOUNTAIN HILL, PA 18015-1171
(610) 419-4494
(610) 419-4740
Mailing address
735 DELAWARE AVE, FOUNTAIN HILL, PA 18015-1171
(610) 419-4494
(610) 419-4740
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD020500E
PA
207QA0401X
Addiction Medicine (Family Medicine) Physician
MD020500E
PA
207Y00000X
Otolaryngology Physician
MD020500E
PA
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
MD020500E
PA
208D00000X
General Practice Physician
Primary
MD020500E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006092320001
—
PA
Enumeration date
06/01/2006
Last updated
04/24/2024
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