Individual
NATHANIEL D. HARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
451 RIVER AVE, WILLIAMSPORT, PA 17701-3722
(570) 320-7070
(570) 320-7071
Mailing address
1201 GRAMPIAN BLVD, WILLIAMSPORT, PA 17701-1900
(570) 326-8723
(570) 326-8922
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
MD448662
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
285759TYA
MEDICARE PTAN
PA
Enumeration date
05/22/2007
Last updated
06/02/2020
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