Individual
MR. JASON MICHAEL HARTUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
255 LEBANON AVE, PITTSFIELD, MA 01201-7828
(413) 499-2334
Mailing address
268 CENTRAL ST, APT 301, GARDNER, MA 01440-8312
(978) 602-4746
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
8463
MA
Other
Enumeration date
01/27/2011
Last updated
01/27/2011
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