Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0210X | Pediatric Nephrologist | D0063821 | MD |
Y | 2080P0210X | Pediatric Nephrologist | MD444819 | PA |
NPI | 1699713115 |
---|---|
Provider Name | Dr. Erum A Hartung |
First Address | Philadelphia, PA 19107-3323 |
Second Address | Philadelphia, PA 19104-4319 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/06/2006 |
Last Update Date | 14/05/2013 |