Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 016113 | ME |
N | 207VE0102X | Reproductive Endocrinologist | 016113 | ME |
Y | 207VE0102X | Reproductive Endocrinologist | MD448484 | PA |
NPI | 1053356279 |
---|---|
Provider Name | Dr. Beth Hartog |
First Address | Pittsburgh, PA 15224-2156 |
Second Address | New York, NY 10016-3037 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/06/2006 |
Last Update Date | 17/09/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
102818261 | (05) | PA |
288310099 | (05) | ME |
G12089 | (02) |