Provider Demographics
NPI:1659508851
Name:HARTMANN, BRIGITTE (LAC)
Entity Type:Individual
Prefix:
First Name:BRIGITTE
Middle Name:
Last Name:HARTMANN
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 SW CUTOFF
Mailing Address - Street 2:SUITE 6
Mailing Address - City:NORTHBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01532-2161
Mailing Address - Country:US
Mailing Address - Phone:508-393-9909
Mailing Address - Fax:508-393-3707
Practice Address - Street 1:10 SW CUTOFF
Practice Address - Street 2:SUITE 6
Practice Address - City:NORTHBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01532-2161
Practice Address - Country:US
Practice Address - Phone:508-393-9909
Practice Address - Fax:508-393-3707
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-15
Last Update Date:2009-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA312171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist