MARK H HALTRECHT

Dr MARK H HALTRECHT is a male medical professional, specializing in Family Medicine. He graduated in 2004 from Philadelphia College Of Osteopathic Medicine.

Contact

389 MERRICK AVE
MERRICK
NY
115662723

Tel: 5168675132

MARK H HALTRECHT Information

Npi 1366510620
Pac Id 4789776113
Professional Enrollment Id I20070815000452
Last Name HALTRECHT
First Name MARK
Middle Name H
Suffix
Gender M
Credential
Medical School Name PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year 2004
Primary Specialty FAMILY MEDICINE
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 389 MERRICK AVE
Line 2 Street Address
Marker Of Address Line 2 Suppression
City MERRICK
State NY
Zip Code 115662723
Phone Number 5168675132
Hospital Affiliation Ccn 1 330198
Hospital Affiliation Lbn 1 SOUTH NASSAU COMMUNITIES HOSPITAL
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment M

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