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Contact Information

MARCY A HARTLE, MD
865 BEAVER DR
DUBOIS, PA15801
 Phone: 814-371-1510
 Fax: 814-371-2922
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Adolescent Medicine

2080A0000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for MARCY A HARTLE · (Female)

NPI # 1356319149
Status Active
Credentials MD
Entity Individual
Enumeration date 03/09/2006
Last updated 10/29/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # ME161877
  • NY License # 161877
  • PA License # MD453017
  • FL Medicaid 101066300
  • NY Medicaid 016848817
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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