Jason B Hack MD

NPI 1053303768 - Emergency Medicine - 207P00000X

NPI Details
NPI 1053303768
Gender Male
Enumeration Date 08/18/2005
Last Updated 09/17/2013
Entity Type Individual
Active Over 11 years ago
Practice Location
593 EDDY ST
CLAVERICK 2
PROVIDENCE RI, 02903-4923, US
Phone (401) 854-2504
Fax (401) 854-2519
Business Location
PO BOX 9484
PROVIDENCE RI, 02940-9484, US
Phone (401) 854-2500
Fax (401) 854-2519
Toxanomy
Taxonomy Code 207P00000X
License State North Carolina
License Number 9900860
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According to our database, Dr. Jason B Hack MD NPI is 1053303768, taxonomy code is 207P00000X and license number is 9900860, license state is located at North Carolina. Jason B Hack MD physically located at 593 Eddy St, Providence RI, 02903-4923. NPI Number Jason B Hack MD has the Individual type.

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1053303768 NPI number is provided on an as is basis without warranty of any kind. 1053303768 is maintained by the National Plan & Provider Enumeration System. The contents of Jason B Hack MD are for informational purposes only.