Individual
RANDY M HAUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
30 HOPE DR STE 2400, HERSHEY, PA 17033-2036
(717) 531-5638
(717) 531-0098
Mailing address
PO BOX 858, MC A410, HERSHEY, PA 17033-0858
(800) 243-1455
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
MD030403E
PA
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
MD030403E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12657800008
—
PA
Enumeration date
04/25/2006
Last updated
11/18/2019
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