Individual
DR. AMIT THATTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1850 EAST PARK AVE., SUITE 207, PENN STATE HERSHEY MEDICAL GROUP, STATE COLLEGE, PA 16803
(814) 689-6789
Mailing address
770 TOFTREES AVE APT 330, STATE COLLEGE, PA 16803-1951
(814) 777-8778
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
MT209820
PA
Other
Enumeration date
07/13/2015
Last updated
07/13/2015
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