Organization
HARTJEN SPINE CARE, P.A.
Active
Other names
Greater Baltimore Spine Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES A HARTJEN M.D. (PRESIDENT)
(410) 830-2290
Entity
Organization
Contact information
Practice address
6565 N CHARLES ST, SUITE 416, TOWSON, MD 21204-6800
(410) 830-2290
(410) 830-2293
Mailing address
6565 N CHARLES ST, SUITE 416, TOWSON, MD 21204-6800
(410) 830-2290
(410) 830-2293
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D33378
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0285376014
CIGNA
MD
01
—
1053594010
NPI TYPE II
MD
01
—
1063416816
NPI TYPE I NUMBER
MD
01
—
3615682
AETNO HMO
MD
01
—
4330577
AETNA PPO
MD
01
—
523068
MAMSI
MD
01
—
J7980001
CAREFIRST BCBS
MD
Enumeration date
12/13/2006
Last updated
05/09/2012
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