Individual
DR. CHARLES A. HARTJEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
615 W MACPHAIL RD, SUITE 210, BEL AIR, MD 21014-4309
(443) 643-2082
(443) 643-2088
Mailing address
615 W MACPHAIL RD, SUITE 210, BEL AIR, MD 21014-4309
(443) 643-2082
(443) 643-2088
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
D33378
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0285376014
CIGNA
MD
01
—
1053594010
NPI TYPE LL
MD
01
—
1619038510
NPI TYPE II
MD
01
—
3615682
AETNA HMO
MD
05
—
407041100
—
MD
01
—
4330577
AETNA PPO
MD
01
—
523068
MAMSI
MD
01
—
839A
CAREFIRST BCBS
MD
01
—
J7980001
BLUE CHOICE/FEDERAL BCBS
MD
Enumeration date
06/09/2005
Last updated
01/09/2017
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