Individual
GERDA HARTL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4 HORIZON RD., APT. G-05, FORT LEE, NJ 07024-6716
(201) 224-0776
(201) 224-0776
Mailing address
4 HORIZON RD., APT. G-05, FORT LEE, NJ 07024-6716
(201) 224-0776
(201) 224-0776
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
25MA02530500
NJ
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
25MA02530500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6256309
—
NJ
Enumeration date
06/26/2008
Last updated
07/21/2009
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