Individual
DR. JOHN GARTMAN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 FRONT ST, VESTAL, NY 13850-1559
(607) 754-2882
Mailing address
200 FRONT ST, VESTAL, NY 13850-1559
(607) 754-2882
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
190166
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01350187
—
NY
01
—
148025
MVP
NY
01
—
4552650
AETNA/PPO-POS
NY
01
—
893458
AETNA/HMO
NY
Enumeration date
12/28/2005
Last updated
02/17/2010
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