Provider Demographics
NPI:1669470456
Name:HARTFORD, HARRY (MD)
Entity Type:Individual
Prefix:DR
First Name:HARRY
Middle Name:
Last Name:HARTFORD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:777 NORTH ST STE 207
Mailing Address - Street 2:
Mailing Address - City:PITTSFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01201-4123
Mailing Address - Country:US
Mailing Address - Phone:413-499-8510
Mailing Address - Fax:413-499-8553
Practice Address - Street 1:777 NORTH ST
Practice Address - Street 2:207
Practice Address - City:PITTSFIELD
Practice Address - State:MA
Practice Address - Zip Code:01201-4147
Practice Address - Country:US
Practice Address - Phone:413-499-8510
Practice Address - Fax:413-499-8553
Is Sole Proprietor?:No
Enumeration Date:2005-07-14
Last Update Date:2011-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA39792207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA043531502OtherCIGNA INDEMNITY
MAA56070OtherHARVARD
MAI22274OtherBCBS
MA039792OtherTUFTS
MA110212380OtherRAILROAD MEDICARE
MA112266OtherMVP
MA043531502OtherHMC PPO
MA12919OtherHEALTH NEW ENGLAND
MA3871944OtherCIGNA/HEALTHSOURCE HMO
MA000000020929OtherHEALTHNET
MA10034388OtherCSPITAL PHYSICIANS HEALTH
MA043531502OtherGIC INDEMNITY
MA0142573Medicaid
MAA56070OtherHARVARD
MA043531502OtherHMC PPO