Provider Demographics
NPI:1942247606
Name:HADCOCK, MARY MARGARET (MD)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:MARGARET
Last Name:HADCOCK
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1247 E ALLUVIAL AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93720-2686
Mailing Address - Country:US
Mailing Address - Phone:559-431-6226
Mailing Address - Fax:559-440-9005
Practice Address - Street 1:7887 N CEDAR AVE
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93720-2685
Practice Address - Country:US
Practice Address - Phone:559-320-4300
Practice Address - Fax:559-320-4343
Is Sole Proprietor?:No
Enumeration Date:2006-06-01
Last Update Date:2021-03-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG520912086X0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA52159Medicare UPIN