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Individual

DR. JEFFREY E. HATTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
117 MARYS AVE, SUITE 201, KINGSTON, NY 12401-5849
(845) 331-5826
(845) 331-0438
Mailing address
117 MARYS AVE, SUITE 201, KINGSTON, NY 12401-5849
(845) 331-5826
(845) 331-0438

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
230467
NY
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
230467
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2521433
NY
Enumeration date
10/18/2005
Last updated
01/29/2013
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