Individual
THOMAS HUGH HAVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
8118 GOOD LUCK RD, LANHAM, MD 20706-3574
(703) 509-6477
Mailing address
1901 MCGUCKIAN AVE UNIT 315, ANNAPOLIS, MD 21401-4047
(703) 509-6477
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
C0008823
MD
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
02/14/2022
Last updated
03/08/2026
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