Provider Demographics
NPI:1306844402
Name:HATCH, JOHN F (MD)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:F
Last Name:HATCH
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 1:160 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01757-3293
Mailing Address - Country:US
Mailing Address - Phone:508-473-7939
Mailing Address - Fax:508-473-3932
Practice Address - Street 1:160 S MAIN ST
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:MA
Practice Address - Zip Code:01757-3293
Practice Address - Country:US
Practice Address - Phone:508-473-7939
Practice Address - Fax:508-473-3932
Is Sole Proprietor?:No
Enumeration Date:2005-07-12
Last Update Date:2021-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA77517207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA3112721Medicaid
MAJ13980Medicare ID - Type Unspecified
F35297Medicare UPIN
MA3112721Medicaid