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Individual

DR. GERALD DAVID HARTMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
8 ROOSEVELT AVE, PORT JEFFERSON STATION, NY 11776-3337
(631) 928-5959
(631) 928-8521
Mailing address
8 ROOSEVELT AVE, PORT JEFFERSON STATION, NY 11776-3337
(631) 928-5959
(631) 928-8521

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
105508
NY

Other

Enumeration date
08/01/2006
Last updated
07/08/2007
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