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NPI Code Detail

MEDICARE: DR. CHARLES IRWIN HECHT M.D.

MEDICARE:  DR. CHARLES IRWIN HECHT  M.D.
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
1208600000XSurgery Physician11951AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1457358608
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHARLES IRWIN HECHT M.D.
Provider Business Mailing Address
First Line : PO BOX 39179
Second Line :
City : PHOENIX
State : AZ
Zip : 85069-9179
Country : US
Telephone Number : 602-395-0718
Fax Number : 602-277-8146
Provider Business Practice Location Address
First Line : 19424 N R H JOHNSON BLVD
Second Line : SUITE 101
City : SUN CITY WEST
State : AZ
Zip : 85375-1409
Country : US
Telephone Number : 602-568-7114
Fax Number : 623-388-6237
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/02/2005
Last Update Date : 08/12/2010

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Directions to “ DR. CHARLES IRWIN HECHT M.D.” Practice Location

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