Hagstrom, J. Nathan

Hagstrom, J. Nathan is an individual health care provider with primary practice located at 2545 Shoenersville Road 3Rd Floor, Bethlehem PA 18017. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology, which is considered as his primary health care specialty. Hagstrom, J. Nathan can be contacted via phone (610) 969-2540.

Contact Information

Primary practice address
2545 Shoenersville Road 3Rd Floor Bethlehem PA 18017
Fax: (610) 969-3074
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology 2080P0207X 036909 Connecticut
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology 2080P0207X MD054176L Pennsylvania

Profile Details

NPI number 1720052368
LBN Legal business name Hagstrom, J. Nathan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2006
Last updated Mar 11th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720052368 NPPES
Connecticut MEDICAID 001369091

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