Individual
PATRICK J. HACKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-2526
Mailing address
324 GANNETT DR, SUITE 200, SOUTH PORTLAND, ME 04106-3270
(207) 482-7800
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD21049
ME
Other
Enumeration date
06/22/2011
Last updated
05/03/2016
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