Doctor Name: | DR. PATRICIA HICKS HARTMAN |
NPI Number: | 1164488284 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | MA38070 |
Business Practice Address: | 119 1st St Suite 5 Ho Ho Kus, NJ - 074231575 |
Business Phone Number: | 2014445277 |
Business Fax Number: | 2014442607 |
Mailing Address: | 34 Manor Rd, WYCKOFF |
State: | NJ |
Postal Code: | 074813461 |
Phone Number: | 2014445277 |
Fax Number: | 2014442607 |
NPI Enumeration Date: | 04/26/2006 |
NPI Last Update Date: | 04/09/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | MA38070 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |