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Organization
HARTJEN SPINE CARE, LLC
Active
Organization
HARTJEN SPINE CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES A HARTJEN M.D. (PRESIDENT)
(410) 274-4080
Entity
Organization
Contact information
Practice address
615 W MACPHAIL RD, SUITE 210, BEL AIR, MD 21014-4309
(443) 643-2078
(443) 643-2088
Mailing address
615 W MACPHAIL RD, SUITE 210, BEL AIR, MD 21014-4309
(443) 643-2082
(443) 643-1537
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
D33378
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
407041100
—
MD
Enumeration date
05/24/2016
Last updated
08/25/2016
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