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Provider Information for 1669796645

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

DR. JONATHAN ANDREW HATOUN MD, MPH

Gender: MALE

Individual NPI: 1669796645

Calendar   Last Updated:  2013-07-10
  Certification Date: 

Details

Name Value
NPI 1669796645
Enumeration Date 2010-03-20
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 10 GOVE ST
EAST BOSTON, MA 02128-1920
United States

Phone: 617-569-5800 | Fax: 617-568-4780
View Map External Link
Primary Practice Address 10 GOVE ST
EAST BOSTON, MA 02128-1920
United States

Phone: 617-569-5800 | Fax: 617-568-4780
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 208000000X - Pediatrics MA 254128