Individual
DR. MARYANN P HARTZELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
148 N 8TH ST, PHILADELPHIA, PA 19107-2418
(215) 777-5808
(215) 777-5825
Mailing address
PO BOX 22433, NEW YORK, NY 10087-2433
(215) 777-5801
(215) 777-5716
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC0036191
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50040438
CAPTIAL BLUE CROSS
PA
01
—
710559
HIGHMARK
PA
Enumeration date
06/28/2005
Last updated
10/09/2023
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