Individual
MICHAEL ANTHONY O'HAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
20053 SUMMIT VIEW BLVD STE 1, WATERTOWN, NY 13601-2170
(315) 755-2560
(315) 257-6610
Mailing address
20053 SUMMIT VIEW BLVD STE 1, WATERTOWN, NY 13601-2170
(315) 755-2560
(315) 257-6610
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
013717
NY
Other
Enumeration date
12/18/2009
Last updated
12/15/2025
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