# HAROLD J. HETTLEMAN, M.D., P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215189725
- **Authorized official:** LISA VAN BLARGAN (OFFICE MANAGER)
- **Authorized official phone:** (410) 832-5511

## Contact information

- **Practice address:** 5 PARK CENTER CT, SUITE 14, OWINGS MILLS, MD 21117-4201
- **Practice address phone:** (410) 356-2935
- **Mailing address:** 5 PARK CENTER CT, SUITE 14, OWINGS MILLS, MD 21117-4201
- **Mailing address phone:** (410) 356-2935

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | D0005004 | MD | Yes |

## Other

- **Enumeration date:** 10/15/2008
- **Last updated:** 12/03/2008