Individual
ALISJA L. HARTMAN
Active
Individual
ALISJA L. HARTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
25MP00148900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1801850243
RCCA GROUP NPI#
NJ
01
—
223141761
RCCA TAX ID#
NJ
01
—
25MP00148900
LICENSE
NJ
05
—
5426600
—
NJ
01
—
699873
RCCA GROUP MEDICARE #
NJ
Enumeration date
06/25/2007
Last updated
07/21/2022
Update your record
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