Individual
ELIZABETH MARIE HARTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3301 NEW MEXICO AVE NW, SUITE 106, WASHINGTON, DC 20016-3622
(703) 442-4714
(703) 442-4715
Mailing address
7799 LEESBURG PIKE, SUITE 1000 N, FALLS CHURCH, VA 22043-2408
(703) 667-8600
(703) 667-8601
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
0101238751
VA
2085R0202X
Diagnostic Radiology Physician
D0061906
MD
2085R0202X
Diagnostic Radiology Physician
Primary
MD035784
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016785W30
UNSPECIFIED
—
01
—
470001526
RR MEDICARE
—
Enumeration date
12/05/2005
Last updated
06/17/2013
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