Provider Demographics
NPI:1154123537
Name:HAUGHTON-REID, CRYSTAL-JADE (MD)
Entity type:Individual
Prefix:
First Name:CRYSTAL-JADE
Middle Name:
Last Name:HAUGHTON-REID
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:CRYSTAL-JADE
Other - Middle Name:
Other - Last Name:HAUGHTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:112 GLENWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:BRIDGEPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06610-1631
Mailing Address - Country:US
Mailing Address - Phone:475-476-9728
Mailing Address - Fax:
Practice Address - Street 1:101 E WOOD ST
Practice Address - Street 2:
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29303-3040
Practice Address - Country:US
Practice Address - Phone:864-560-6285
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-26
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program