Basic Information
| Provider Information | |||||||||
| NPI: | 1629100813 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HAGEE | ||||||||
| FirstName: | MARY | ||||||||
| MiddleName: | MARGARETT | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | D.O. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3411 SILVERSIDE RD | ||||||||
| Address2: | WEBSTER BLDG, SUITE 103 | ||||||||
| City: | WILMINGTON | ||||||||
| State: | DE | ||||||||
| PostalCode: | 19810 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3024798464 | ||||||||
| FaxNumber: | 3024797159 | ||||||||
| Practice Location | |||||||||
| Address1: | 3411 SILVERSIDE RD | ||||||||
| Address2: | WEBSTER BUILDING, STE 103 | ||||||||
| City: | WILMINGTON | ||||||||
| State: | DE | ||||||||
| PostalCode: | 198104812 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3024798464 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/12/2007 | ||||||||
| LastUpdateDate: | 02/11/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | C2-0008977 | DE | Y | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | OS008923L | PA | N | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.