Provider Demographics
NPI:1790785699
Name:HARTMAN, JUDITH B (MD)
Entity Type:Individual
Prefix:DR
First Name:JUDITH
Middle Name:B
Last Name:HARTMAN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2121 YGNACIO VALLEY RD
Mailing Address - Street 2:BLDG. E, SUITE 101
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94598-3383
Mailing Address - Country:US
Mailing Address - Phone:925-945-6600
Mailing Address - Fax:925-945-7842
Practice Address - Street 1:2121 YGNACIO VALLEY RD
Practice Address - Street 2:BLDG. E, SUITE 101
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94598-3383
Practice Address - Country:US
Practice Address - Phone:925-945-6600
Practice Address - Fax:925-945-7842
Is Sole Proprietor?:No
Enumeration Date:2005-07-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG38913174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist