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Individual

MR. JOHN THOMAS HITCHENS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
1715 FARMSHIRE CT, JARRETTSVILLE, MD 21084-1507
(410) 692-6601
(410) 692-9566
Mailing address
1715 FARMSHIRE CT, JARRETTSVILLE, MD 21084-1507
(410) 692-6601
(410) 692-9566

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R072213
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
43002552
RAIL ROAD MEDICARE
MD
05
537091400
MD
Enumeration date
01/09/2007
Last updated
09/19/2011
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