Provider Demographics
NPI:1013018993
Name:HUTCHINS, MARY E (MD)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:E
Last Name:HUTCHINS
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1665 VALLEY CENTER PKWY
Mailing Address - Street 2:SUITE 120
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18017-2346
Mailing Address - Country:US
Mailing Address - Phone:610-868-3150
Mailing Address - Fax:610-868-3156
Practice Address - Street 1:1665 VALLEY CENTER PKWY
Practice Address - Street 2:SUITE 120
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18017-2346
Practice Address - Country:US
Practice Address - Phone:610-868-3150
Practice Address - Fax:610-868-3156
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2014-04-01
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Provider Licenses
StateLicense IDTaxonomies
PAMD062784L207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA2148868OtherHIGHMARK BS
PA50091344OtherCAPITAL BLUE CROSS
PA50091344OtherCAPITAL BLUE CROSS