Individual
DR. SCOTT M HARTZELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
137 JPM RD, LEWISBURG, PA 17837-9313
(570) 523-3937
(570) 524-5279
Mailing address
137 JPM RD, LEWISBURG, PA 17837-9313
(570) 523-3937
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD051651L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001432510
—
PA
01
—
0171379
CAPITAL BLUE
—
01
—
194425
BLUE CROSS
—
01
—
6206
GEISINGER
—
Enumeration date
09/14/2006
Last updated
01/07/2021
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