Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | MD062784L | PA |
NPI | 1013018993 |
---|---|
Provider Name | Mary E Hutchins |
First Address | Bethlehem, PA 18017-2346 |
Second Address | Bethlehem, PA 18017-2346 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/09/2006 |
Last Update Date | 01/04/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2148868 | HIGHMARK BS (01) | PA |
50091344 | CAPITAL BLUE CROSS (01) | PA |