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NPI Code Detail

MEDICARE: DR. SAMMY HUTMAN M.D.

MEDICARE: DR. SAMMY HUTMAN 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
1207N00000XDermatology Physician184485-1NY

General Provider Information

NPI Number : 1881692481
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SAMMY HUTMAN M.D.
Provider Business Mailing Address
First Line : 503 ROUTE 208
Second Line :
City : MONROE
State : NY
Zip : 10950-1619
Country : US
Telephone Number : 845-783-2920
Fax Number :
Provider Business Practice Location Address
First Line : 503 ROUTE 208
Second Line :
City : MONROE
State : NY
Zip : 10950-1619
Country : US
Telephone Number : 845-783-2920
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2005
Last Update Date : 01/30/2013

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