Individual
EDWARD HAPONIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
(336) 716-2255
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
D25168
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010361389
—
VA
01
—
189350
MEDCOST
—
05
—
2000466000
—
WV
01
—
39124
BCBS
—
01
—
4640
PARTNERS
—
05
—
551203400
—
MD
01
—
7678146
AETNA
—
05
—
8939124
—
NC
Enumeration date
05/08/2006
Last updated
01/12/2012
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