Individual
STEPHAN HATCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
365 MONTAUK AVE, ANESTHESIA DEPARTMENT, NEW LONDON, CT 06320
(860) 442-0711
(860) 443-4458
Mailing address
PO BOX 1849, LEWISTON, ME 04241-1849
(207) 777-1439
(207) 777-1439
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
042.0012965
VT
207L00000X
Anesthesiology Physician
Primary
234074
MA
207L00000X
Anesthesiology Physician
24180
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1144277609
—
MA
Enumeration date
05/30/2006
Last updated
07/23/2018
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