Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081P2900X | Pain Medicine | OS 005144 L | PA |
NPI | 1083610810 |
---|---|
Provider Name | Stuart A Hartman |
First Address | Lebanon, PA 17042-5547 |
Second Address | Lebanon, PA 17042-5547 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2005 |
Last Update Date | 19/08/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1035851 | (05) | PA |
C28376 | (02) | PA |