Provider Demographics
NPI:1902886534
Name:HUTCHINSON, HARRY J III (DO)
Entity Type:Individual
Prefix:
First Name:HARRY
Middle Name:J
Last Name:HUTCHINSON
Suffix:III
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:412 CREAMERY WAY
Mailing Address - Street 2:SUITE 400
Mailing Address - City:EXTON
Mailing Address - State:PA
Mailing Address - Zip Code:19341-2500
Mailing Address - Country:US
Mailing Address - Phone:610-430-8200
Mailing Address - Fax:610-594-2625
Practice Address - Street 1:520 MAPLE AVE
Practice Address - Street 2:SUITE 4
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19380-4434
Practice Address - Country:US
Practice Address - Phone:610-430-8200
Practice Address - Fax:610-594-2625
Is Sole Proprietor?:No
Enumeration Date:2006-01-19
Last Update Date:2013-12-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAOS002776L207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001661442Medicaid
PA001910Medicare ID - Type Unspecified
PA001661442Medicaid