Individual
THERESA HARTSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
600 N WOLFE ST, BALTIMORE, MD 21287-0005
(410) 955-6353
Mailing address
PO BOX 64382, BALTIMORE, MD 21264-4382
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
02441
NC
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
0101265101
VA
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
207-02441
NC
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
D58613
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
512208200
—
MD
Enumeration date
05/12/2006
Last updated
09/30/2025
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