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Individual

MR. JAMES F. WACHTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APRN,BC

Contact information

Practice address
11110 MEDICAL CAMPUS RD STE 108, HAGERSTOWN, MD 21742-6734
(301) 714-4041
(301) 714-4351
Mailing address
11110 MEDICAL CAMPUS RD STE 108, HAGERSTOWN, MD 21742-6734
(301) 714-4041

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
38364
WV
363LF0000X
Family Nurse Practitioner
Primary
AC002660
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0166959001
WV
Enumeration date
12/06/2006
Last updated
06/11/2020
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