Individual
NICOLE M HACKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
35 HOPE DRIVE, STES 102 & 104, HERSHEY, PA 17033-2086
(717) 531-7300
(717) 531-3527
Mailing address
PO BOX 858, MC A410, HERSHEY, PA 17033-0858
(800) 243-1455
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD439900
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1024833480002
—
PA
Enumeration date
06/01/2007
Last updated
03/18/2020
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