Individual
AUDREY L. HARTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 MEDICAL CENTER DR, LEBANON, NH 03756-0001
(603) 650-4477
Mailing address
1 MEDICAL CENTER DR, LEBANON, NH 03756-0001
(603) 650-7650
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
154435
MA
2085R0202X
Diagnostic Radiology Physician
Primary
22641
NH
2085R0202X
Diagnostic Radiology Physician
EL08715
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110060624A
—
MA
Enumeration date
09/22/2006
Last updated
06/01/2022
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