Provider Demographics
NPI:1790110237
Name:HARTMAN, ALBERT FREDERICK JR (MD)
Entity Type:Individual
Prefix:DR
First Name:ALBERT
Middle Name:FREDERICK
Last Name:HARTMAN
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:A.
Other - Middle Name:FREDERICK
Other - Last Name:HARTMAN
Other - Suffix:JR
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:904 POPHAM RD
Mailing Address - Street 2:
Mailing Address - City:PHIPPSBURG
Mailing Address - State:ME
Mailing Address - Zip Code:04562-4724
Mailing Address - Country:US
Mailing Address - Phone:603-707-1329
Mailing Address - Fax:
Practice Address - Street 1:33 ROGER ST
Practice Address - Street 2:MARSHWOOD CENTER
Practice Address - City:LEWISTON
Practice Address - State:ME
Practice Address - Zip Code:04240-3328
Practice Address - Country:US
Practice Address - Phone:207-784-0108
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-03
Last Update Date:2016-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEMD20769207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine