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Individual

PAUL JAMES HARTMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2100 CLINTON AVE S, ROCHESTER, NY 14618-2616
(585) 244-6011
(585) 244-0236
Mailing address
2100 CLINTON AVE S, ROCHESTER, NY 14618-2616
(585) 244-6011
(585) 244-0236

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
207199
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01760503
NY
01
1073577961
EXCELLUS BCBS
NY
01
1447254917
MVP
NY
01
180030304
RAILROAD MEDICARE
NY
01
P010207199
BCBS
NY
Enumeration date
06/13/2005
Last updated
08/20/2014
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