Individual
DANIEL HAVEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15500 BUSTLETON AVE, PHILADELPHIA, PA 19116-1113
(215) 677-8593
(215) 464-7459
Mailing address
15500 BUSTLETON AVE, PHILADELPHIA, PA 19116-1113
(215) 677-8593
(215) 464-7459
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP453110
PA
Other
Enumeration date
12/09/2020
Last updated
12/09/2020
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