Organization
HETTICK INTERNAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMIE L HETTICK MD (PROVIDER)
(717) 541-1400
Entity
Organization
Contact information
Practice address
4319 LONDONDERRY RD, HARRISBURG, PA 17109-5318
(717) 541-1400
(717) 541-8080
Mailing address
4319 LONDONDERRY RD, HARRISBURG, PA 17109-5318
(717) 541-1400
(717) 541-8080
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD047575L
PA
Other
Enumeration date
08/30/2006
Last updated
09/03/2009
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