| Doctor Name: | DR. RICHARD CHRISTIAN HABERSAT |
| NPI Number: | 1336133545 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | D18822 |
| Business Practice Address: | 111 Mount Carmel Rd Suite 500 Parkton, MD - 211209706 |
| Business Phone Number: | 4103431020 |
| Business Fax Number: | 4103432494 |
| Mailing Address: | 111 Mt Carmel Road, PARKTON |
| State: | MD |
| Postal Code: | 21120 |
| Phone Number: | 4103431020 |
| Fax Number: | 4103432494 |
| NPI Enumeration Date: | 09/01/2005 |
| NPI Last Update Date: | 06/04/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207RA0000X |
| License Number: | D18822 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Internal Medicine |
| Taxonomy Specialization: | Adolescent Medicine |
| Taxonomy Definition: | An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |