MEDICARE: JULIE JOANNE HATTIER D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	C2 0006548	DE

General Provider Information

NPI Number	:	1376632331
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIE JOANNE HATTIER D.O.

Provider Business Mailing Address
First Line	:	550 ATLANTIC AVE
Second Line	:
City	:	MILLVILLE
State	:	DE
Zip	:	19967-6709
Country	:	US
Telephone Number	:	302-537-8318
Fax Number	:	302-539-8736

Provider Business Practice Location Address
First Line	:	550 ATLANTIC AVE
Second Line	:
City	:	MILLVILLE
State	:	DE
Zip	:	19967-6709
Country	:	US
Telephone Number	:	302-537-8318
Fax Number	:	302-539-8736

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/11/2006
Last Update Date	:	01/03/2025

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