Individual
DR. JOHN E HATZANTONIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
201 LAUREL HEIGHTS DR, BRIDGETON, NJ 08302-3635
(856) 455-4800
(856) 453-1450
Mailing address
7 CONCORD CT, BRIDGETON, NJ 08302-4100
(856) 455-4800
(856) 453-1450
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA073410
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8899401
—
NJ
Enumeration date
09/21/2006
Last updated
07/08/2007
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