| Organization Name: | IRA HAUPTMAN DPM PC |
| NPI Number: | 1144405655 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | IRA HAUPTMAN (PRESIDENT) |
| Mailing Address: | 256 Columbia Tpke Suite 203 Florham Park |
| State: | NJ US |
| Postal Code: | 079321209 |
| Phone Number: | 9739661200 |
| Fax Number: | 9739660238 |
| NPI Enumeration Date: | 01/03/2008 |
| NPI Last Update Date: | 01/03/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | 25MD00112500 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |