Organization
MARY E. HARTMAN, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY E. HARTMAN M.D. (CEO)
(925) 277-1132
Entity
Organization
Contact information
Practice address
5401 NORRIS CANYON RD, SUITE 310, SAN RAMON, CA 94583-5409
(925) 277-1132
(925) 277-1225
Mailing address
5401 NORRIS CANYON RD, SUITE 310, SAN RAMON, CA 94583-5409
(925) 277-1132
(925) 277-1225
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
G45846
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1437156684
TYPE 1 NPI
CA
Enumeration date
07/10/2006
Last updated
08/22/2020
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