Provider Demographics
NPI:1093797995
Name:HARTIG, DAVID (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:
Last Name:HARTIG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:10155 YORK RD
Mailing Address - Street 2:STE 200
Mailing Address - City:COCKEYSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21030-3352
Mailing Address - Country:US
Mailing Address - Phone:410-628-2026
Mailing Address - Fax:410-667-6834
Practice Address - Street 1:10155 YORK RD
Practice Address - Street 2:STE 200
Practice Address - City:COCKEYSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21030-3352
Practice Address - Country:US
Practice Address - Phone:410-628-2026
Practice Address - Fax:410-667-6834
Is Sole Proprietor?:No
Enumeration Date:2005-11-16
Last Update Date:2014-01-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDD26575207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD823222OtherALLIANCE
MD32364002OtherBLUE CROSS AND BLUE SHIEL
MD521212174OtherAMERIGROUP
MD25202OtherEMPLOYER HEALTH
MD521212174OtherAMERICAN INTERNATIONAL
MD0783346OtherAETNA
MD36534OtherHEALTH PARTNER
MD521212174OtherAAA
MD521212174OtherACE
MD521212174OtherAFTRA HEALTH
MD521212174OtherA-G ADMINISTRATORS
MD521212174OtherAMERIHEALTH
MD43146OtherHEALTH ASSURANCE
MD323222OtherOPTIUM CHOICE
MD32364002OtherCARE FIRST
MD823222OtherMAMSI
MD521212174OtherACCORDIA
MD521212174OtherALLSTATE
MD32364002OtherBLUE CROSS AND BLUE SHIEL
MD521212174OtherAAA