Individual
DR. BETH HARTOG
Active
Individual
DR. BETH HARTOG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
016113
ME
207VE0102X
Reproductive Endocrinology Physician
016113
ME
207VE0102X
Reproductive Endocrinology Physician
Primary
MD448484
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102818261
—
PA
05
—
288310099
—
ME
Enumeration date
06/19/2006
Last updated
09/17/2014
Update your record
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