Individual
DR. MARILYN T. HAUPT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822-2037
(570) 271-6389
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-3034
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
MD425535
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001874441
—
PA
Enumeration date
03/16/2006
Last updated
01/12/2011
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