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Individual

DWIGHT MICHAEL HARTMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
340 WOOD RD, SUITE 102, BRAINTREE, MA 02184-2401
(781) 535-6053
(781) 535-6056
Mailing address
22 JONES ST, HINGHAM, MA 02043-2002
(781) 740-2027

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11919
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0314587
MA
Enumeration date
06/08/2007
Last updated
12/01/2009
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