Individual
RAPHAEL V HARTZOG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
4 MAPLE STREET, SPRINGFIELD, MA 01103-1904
(413) 781-8900
(413) 781-6200
Mailing address
4 MAPLE STREET, SPRINGFIELD, MA 01103-1904
(413) 781-8900
(413) 781-6200
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1679
MA
Other
Enumeration date
03/05/2007
Last updated
07/08/2007
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