Provider / Organization | NPI | Date Certified |
---|---|---|
THOMAS L HAUPT | 1700589207 | 2024-05-12 |
Thomas L Haupt is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1700589207. Registration indicates Thomas L Haupt is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care)
Entity Type | Individual |
Provider Name | Thomas L Haupt MD |
Practice Office Address | 1411 E 31ST ST FL 2 OAKLAND, CA US |
Practice Office Telephone | 5104374401 |
Practice Office Fax | 5105357313 |
Mailing Address | 80 DEKALB AVE APT 19D BROOKLYN, NY 112015455 US |
Business Telephone | 3032171420 |
Code | Practice | License No State |
---|---|---|
390200000X PRIMARY | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care |