Provider Demographics
NPI:1447552013
Name:PETER A. HARTMANN MD PC
Entity type:Organization
Organization Name:PETER A. HARTMANN MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SURGEON
Authorized Official - Prefix:DR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:A
Authorized Official - Last Name:HARTMANN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:978-463-8686
Mailing Address - Street 1:21 HIGHLAND AVE
Mailing Address - Street 2:SUITE 12
Mailing Address - City:NEWBURYPORT
Mailing Address - State:MA
Mailing Address - Zip Code:01950-3872
Mailing Address - Country:US
Mailing Address - Phone:978-463-8686
Mailing Address - Fax:978-499-8514
Practice Address - Street 1:21 HIGHLAND AVE
Practice Address - Street 2:SUITE 12
Practice Address - City:NEWBURYPORT
Practice Address - State:MA
Practice Address - Zip Code:01950-3872
Practice Address - Country:US
Practice Address - Phone:978-463-8686
Practice Address - Fax:978-499-8514
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-02
Last Update Date:2010-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA71021208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty