Provider Demographics
NPI:1235377862
Name:HATTON, PAUL DAMIEN (MD)
Entity Type:Individual
Prefix:
First Name:PAUL DAMIEN
Middle Name:
Last Name:HATTON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3107 BLACK CHESTNUT LN
Mailing Address - Street 2:
Mailing Address - City:CHEVY CHASE
Mailing Address - State:MD
Mailing Address - Zip Code:20815-4754
Mailing Address - Country:US
Mailing Address - Phone:240-997-5538
Mailing Address - Fax:
Practice Address - Street 1:3107 BLACK CHESTNUT LN
Practice Address - Street 2:
Practice Address - City:CHEVY CHASE
Practice Address - State:MD
Practice Address - Zip Code:20815-4754
Practice Address - Country:US
Practice Address - Phone:240-997-5538
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-02-04
Last Update Date:2009-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA49316208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)