Individual
MS. AMY B HATOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
860 OMNI BLVD, SUITE 101, NEWPORT NEWS, VA 23606-4430
(757) 877-4221
(757) 886-1042
Mailing address
860 OMNI BLVD, SUITE 303, NEWPORT NEWS, VA 23606-4430
(757) 232-8777
(757) 232-8866
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0110001010
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010269695
—
VA
01
—
247762
ANTHEM CROSSOVER PN
VA
Enumeration date
08/08/2006
Last updated
09/27/2012
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