Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | MA49332 | NJ |
NPI | 1043238439 |
---|---|
Provider Name | Dr. Jeffrey D Hartford |
First Address | Flemington, NJ 08822-4600 |
Second Address | Flemington, NJ 08822-4600 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/07/2006 |
Last Update Date | 19/07/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0227200 | (05) | NJ |
E55074 | (02) | NJ |