Provider Demographics
NPI:1922017342
Name:HAYNES, ARLEEN G (MD)
Entity type:Individual
Prefix:DR
First Name:ARLEEN
Middle Name:G
Last Name:HAYNES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ARLEEN
Other - Middle Name:G
Other - Last Name:HAYNES-LAING
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:1208 EDMONDS AVE
Mailing Address - Street 2:
Mailing Address - City:DREXEL HILL
Mailing Address - State:PA
Mailing Address - Zip Code:19026-2616
Mailing Address - Country:US
Mailing Address - Phone:215-796-8489
Mailing Address - Fax:
Practice Address - Street 1:2400 BERNVILLE RD
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19605-9607
Practice Address - Country:US
Practice Address - Phone:610-378-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2025-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD044094L208000000X, 2080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001488973Medicaid
NJ7563108Medicaid
PA001488973Medicaid