Provider Demographics
NPI:1568509594
Name:GARTLEY, HILDA C (MD)
Entity Type:Individual
Prefix:
First Name:HILDA
Middle Name:C
Last Name:GARTLEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2014 WASHINGTON ST
Mailing Address - Street 2:NEWTON-WELLESLEY HOSPITAL DEPARTMENT OF PEDIATRICS
Mailing Address - City:NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02462-1607
Mailing Address - Country:US
Mailing Address - Phone:617-243-6565
Mailing Address - Fax:617-243-6981
Practice Address - Street 1:2014 WASHINGTON ST
Practice Address - Street 2:NEWTON-WELLESLEY HOSPITAL DEPARTMENT OF PEDIATRICS
Practice Address - City:NEWTON
Practice Address - State:MA
Practice Address - Zip Code:02462-1607
Practice Address - Country:US
Practice Address - Phone:617-243-6565
Practice Address - Fax:617-243-6981
Is Sole Proprietor?:No
Enumeration Date:2007-01-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA151281208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics