Organization
BARBARA B HACKMAN MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA B HACKMAN MD (PRESIDENT)
(610) 651-7760
Entity
Organization
Contact information
Practice address
30 S VALLEY RD, SUITE 205, PAOLI, PA 19301-1450
(610) 651-7760
(610) 651-7767
Mailing address
30 S VALLEY RD, SUITE 205, PAOLI, PA 19301-1450
(610) 651-7760
(610) 651-7767
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
MD072634L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001416468
HIGHMARK BS
PA
01
—
2103014000
INDEPENDENCE BLUE CROSS
PA
Enumeration date
03/24/2008
Last updated
07/03/2008
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