Mary E Hartman
MOHS-Micrographic Surgeon
5401 Norris Canyon Rd Suite 310
San Ramon
, California 94583-5409
Mary E Hartman
MOHS-Micrographic Surgeon
5401 Norris Canyon Rd Suite 310
San Ramon
, California 94583-5409
(925) 277-1225
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About
Features
Specialties
- MOHS-Micrographic Surgeon
Languages spoken
- English
Location
First Address
- Mary E Hartman
- 5401 Norris Canyon Rd Suite 310
- San Ramon, CA
- Zip : 94583-5409
- Fax : (925) 277-1225
- Phone : (925) 277-1132
Second Address
- Mary E Hartman
- 5401 Norris Canyon Rd Suite 310
- San Ramon, CA
- Zip : 94583-5409
- Fax : (925) 277-1225
- Phone : (925) 277-1132
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207ND0101X | MOHS-Micrographic Surgeon | G45846 | CA |
National Provider Identifier
| NPI | 1437156684 |
|---|---|
| Provider Name | Mary E Hartman |
| First Address | San Ramon, CA 94583-5409 |
| Second Address | San Ramon, CA 94583-5409 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/07/2005 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| E24942 | (02) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.