Individual
IRA ALAN HAUPTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
256 COLUMBIA TPKE, SUITE 203, FLORHAM PARK, NJ 07932-1244
(973) 966-1200
(973) 966-0238
Mailing address
256 COLUMBIA TPKE, SUITE 203, FLORHAM PARK, NJ 07932-1244
(973) 966-1200
(973) 966-0238
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
25MD001125
NJ
213ES0000X
Sports Medicine Podiatrist
25MD001125
NJ
213ES0131X
Foot Surgery Podiatrist
25MD001125
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0626104
—
NJ
Enumeration date
05/17/2006
Last updated
08/18/2011
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