Individual
J. NATHAN HAGSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2545 SHOENERSVILLE ROAD, 3RD FLOOR, BETHLEHEM, PA 18017
(610) 969-2540
(610) 969-3074
Mailing address
PO BOX 1754, ALLENTOWN, PA 18105-1754
(484) 884-4500
(484) 884-0699
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
036909
CT
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
MD054176L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001369091
—
CT
Enumeration date
02/13/2006
Last updated
03/11/2024
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