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Individual

JOSEPH HARTOG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2006 DWIGHT WAY, SUITE 101, BERKELEY, CA 94704
(510) 848-8700
(510) 848-8778
Mailing address
PO BOX 29210, SAN FRANCISCO, CA 94129-0210

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
G6861
CA

Other

Enumeration date
09/22/2006
Last updated
07/08/2007
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