GERDA HARTL


Address: 4 Horizon Rd., Apt. G-05, Fort Lee, NJ 07024-6716
Phone: 2012240776

GERDA HARTL (NPI# 1235391848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235391848
Entity Type Individual
Full Name GERDA HARTL
Other Name GERDA HARTL STRIKA
Credential M.D.
Practice Address 4 Horizon Rd.
Apt. G-05
Fort Lee
NJ 07024-6716
Practice Telephone 2012240776
Practice Fax Number 2012240776
Mailing Telephone 2012240776
Mailing Fax Number 2012240776
Enumeration Date 2008-06-26
Last Update Date 2009-07-21
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2084P0800X Psychiatry & Neurology
Specialization: Psychiatry
25MA02530500 NJ Allopathic & Osteopathic Physicians
Y 2084P0804X Psychiatry & Neurology
Specialization: Child & Adolescent Psychiatry
25MA02530500 NJ Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NJ 6256309 05

Office Location

Street Address 4 HORIZON RD.
APT. G-05
City FORT LEE
State NJ
Zip Code 07024-6716

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Taxonomy Information

Taxonomy Code 2084P0804X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Child & Adolescent Psychiatry

Taxonomy Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

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Competitor

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City FORT LEE
Zip Code 07024

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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