Provider Demographics
NPI:1497827125
Name:HARTMAN, DANIEL GERARD (MD)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:GERARD
Last Name:HARTMAN
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 1:1804 HOWE LN
Mailing Address - Street 2:
Mailing Address - City:AMBLER
Mailing Address - State:PA
Mailing Address - Zip Code:19002-2915
Mailing Address - Country:US
Mailing Address - Phone:267-289-1333
Mailing Address - Fax:267-289-1337
Practice Address - Street 1:727 WELSH RD
Practice Address - Street 2:STE 202
Practice Address - City:HUNTINGDON VALLEY
Practice Address - State:PA
Practice Address - Zip Code:19006-6357
Practice Address - Country:US
Practice Address - Phone:215-914-2119
Practice Address - Fax:215-914-1663
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-15
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD052439L2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA669141N5MMedicare ID - Type Unspecified
PAE83669Medicare UPIN