Individual
DR. JOHN GARTMAN JR.
Active
Individual
DR. JOHN GARTMAN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
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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