Basic Information
Provider Information
NPI: 1730574732
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HECHTMAN
FirstName: AARON
MiddleName: COLE
NamePrefix:  
NameSuffix:  
Credential: D.O.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 13579
Address2:  
City: READING
State: PA
PostalCode: 196123579
CountryCode: US
TelephoneNumber: 4846281324
FaxNumber:  
Practice Location
Address1: 1220 BROADCASTING RD STE 100
Address2:  
City: READING
State: PA
PostalCode: 196103221
CountryCode: US
TelephoneNumber: 4846285673
FaxNumber: 6103718623
Other Information
ProviderEnumerationDate: 04/06/2015
LastUpdateDate: 09/22/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/09/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
390200000X  Y Student, Health CareStudent in an Organized Health Care Education/Training Program 

No ID Information.


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