Individual
DR. AMY ELIZABETH HACKMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
75 FRANCIS ST, BOSTON, MA 02115-6110
(617) 732-5500
Mailing address
P.O. BOX 31309, LOS ANGELES, CA 90031-0309
(323) 442-5849
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
ME99575
FL
2086S0129X
Vascular Surgery Physician
2005026724
MO
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
A107448
CA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
MD445377
PA
Other
Enumeration date
09/26/2006
Last updated
10/25/2024
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