Provider Demographics
NPI:1033678099
Name:HARTIGAN, TIMOTHY
Entity Type:Individual
Prefix:
First Name:TIMOTHY
Middle Name:
Last Name:HARTIGAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 OSTRUM STREET
Mailing Address - Street 2:HOSPITALIST MEDICINE
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18105
Mailing Address - Country:US
Mailing Address - Phone:484-526-6643
Mailing Address - Fax:833-616-5210
Practice Address - Street 1:801 OSTRUM STREET
Practice Address - Street 2:HOSPITALIST MEDICINE
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18105
Practice Address - Country:US
Practice Address - Phone:484-526-6643
Practice Address - Fax:833-616-5210
Is Sole Proprietor?:No
Enumeration Date:2019-03-18
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY64170390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program