Individual
MALLORY C HATFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
46 NORTH ST, SUITE 6, HYANNIS, MA 02601-3845
(508) 778-4888
(508) 778-4887
Mailing address
46 NORTH ST, SUITE 6, HYANNIS, MA 02601-3845
(508) 778-4888
(508) 778-4887
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
82138
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060050660
RR MEDICARE
MA
01
—
0664672
CIGNA
MA
01
—
2272937
AETNA
MA
01
—
2500635
UNITED HEALTH CARE
MA
01
—
300398
HARVARD PILGRIM HEALTH
MA
05
—
3143945
—
MA
01
—
792597
TUFTS HEALTH PLAN
MA
01
—
J19435
BLUE SHIELD
MA
Enumeration date
05/16/2006
Last updated
08/18/2014
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