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NPI Code Detail

MEDICARE: HAHNEMANN

MEDICARE: HAHNEMANN
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
1261QH0100XHealth Service Clinic/Center

General Provider Information

NPI Number : 1912478710
Entity Type Code : Organization
Provider Name (Legal Business Name) : HAHNEMANN
Provider Business Mailing Address
First Line : 57 NORTH ST STE 323
Second Line :
City : DANBURY
State : CT
Zip : 06810-5628
Country : US
Telephone Number : 203-798-0533
Fax Number :
Provider Business Practice Location Address
First Line : 57 NORTH ST STE 323
Second Line :
City : DANBURY
State : CT
Zip : 06810-5628
Country : US
Telephone Number : 203-798-0533
Fax Number :
Authorized Official
Title or Position : OFFICER
Name : PATRICIA OFGANG
Credential : NP
Telephone Number : 212-684-2290
Provider Enumeration Date : 12/06/2018
Last Update Date : 12/06/2018

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Directions to “HAHNEMANN ” Practice Location

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