Individual
DR. JOHN WATTS HARESCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6365 N CROATAN HWY, SUITE B, KITTY HAWK, NC 27949-3800
(252) 480-6631
(252) 480-6630
Mailing address
2401 E ST NW, WASHINGTON, DC 20225
(202) 663-1718
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
200101152
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5906425
—
NC
Enumeration date
08/04/2006
Last updated
03/30/2016
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