Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | 38MC00689000 | NJ |
Y | 111NN0400X | Neurology | 38MC00689000 | NJ |
N | 111NR0400X | Rehabilitation Chiropractor | 38MC00689000 | NJ |
NPI | 1386935278 |
---|---|
Provider Name | Dr. Jonathan Robert Hartman |
First Address | Oradell, NJ 07649-2549 |
Second Address | Oradell, NJ 07649-2549 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/04/2011 |
Last Update Date | 23/04/2020 |