Hauptman, Ira Alan

Hauptman, Ira Alan is an sole proprietor health care provider with primary practice located at 256 Columbia Tpke Suite 203, Florham Park NJ 07932-1244. He recently has 3 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, Podiatric Medicine & Surgery Service Providers / Sports Medicine, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine is his primary health care specialty. Hauptman, Ira Alan can be contacted via phone (973) 966-1200.

Contact Information

Primary practice address
256 Columbia Tpke Suite 203 Florham Park NJ 07932-1244
Phone: (973) 966-1200
Fax: (973) 966-0238
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X 25MD001125 New Jersey
Podiatric Medicine & Surgery Service Providers / Sports Medicine 213ES0000X 25MD001125 New Jersey
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 25MD001125 New Jersey

Profile Details

NPI number 1922051556
LBN Legal business name Hauptman, Ira Alan
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 17th, 2006
Last updated Aug 18th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922051556 NPPES
New Jersey MEDICAID 0626104

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