Provider Demographics
NPI:1053312397
Name:HARTFELDER, RONALD C (MD)
Entity Type:Individual
Prefix:
First Name:RONALD
Middle Name:C
Last Name:HARTFELDER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:340 MAIN ST
Mailing Address - Street 2:STE. 670
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01608-1604
Mailing Address - Country:US
Mailing Address - Phone:508-754-3566
Mailing Address - Fax:508-798-8012
Practice Address - Street 1:55 HIGHLAND AVE
Practice Address - Street 2:STE 304
Practice Address - City:SALEM
Practice Address - State:MA
Practice Address - Zip Code:01970-2100
Practice Address - Country:US
Practice Address - Phone:978-741-4171
Practice Address - Fax:978-741-4283
Is Sole Proprietor?:No
Enumeration Date:2005-08-09
Last Update Date:2009-04-14
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Provider Licenses
StateLicense IDTaxonomies
MA59277207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA3038025Medicaid
MASX0819Medicare PIN
MAJ07523Medicare PIN
A66629Medicare UPIN