Provider Demographics
NPI:1811995152
Name:HAYMAN, HARRIS ROBERT (MD)
Entity type:Individual
Prefix:DR
First Name:HARRIS
Middle Name:ROBERT
Last Name:HAYMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 OAK HILL CIR
Mailing Address - Street 2:
Mailing Address - City:MALVERN
Mailing Address - State:PA
Mailing Address - Zip Code:19355
Mailing Address - Country:US
Mailing Address - Phone:610-296-7799
Mailing Address - Fax:610-296-7799
Practice Address - Street 1:9 OAK HILL CIR
Practice Address - Street 2:
Practice Address - City:MALVERN
Practice Address - State:PA
Practice Address - Zip Code:19355
Practice Address - Country:US
Practice Address - Phone:610-296-7799
Practice Address - Fax:610-296-7799
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-11
Last Update Date:2016-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD013396E207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAB38232Medicare UPIN
B38232Medicare UPIN
HA136418Medicare ID - Type Unspecified