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Individual
PAUL HARTLEY
Active
Individual
PAUL HARTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD-041450E
PW
207R00000X
Internal Medicine Physician
Primary
MD041450E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011227500003
—
PA
01
—
110205093
RAILROAD MEDICARE PTAN
—
Enumeration date
04/14/2006
Last updated
07/06/2023
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