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MR. THOMAS R HATALA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
3998 RED LION RD, PHILADELPHIA, PA 19114-1445
(201) 612-4088
(215) 612-4323
Mailing address
10911 KIRBY DR, PHILA, PA 19154-4205
(267) 242-4680

Taxonomy

Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
RN505383L
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN505383L
PA

Other

Enumeration date
11/09/2009
Last updated
02/24/2015
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