Harold J. Hettleman, M.D., P.a.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

D0005004 Issued in MD

Legal business name

HAROLD J. HETTLEMAN, M.D., P.A.

Practice address

5 Park Center CT
Suite 14
Owings Mills, MD 21117-4201

Phone

(410) 356-2935

NPI assigned

Oct 15, 2008

Last updated

Dec 3, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lisa Van Blargan

Title

Office Manager

Phone

(410) 832-5511

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1224028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228262400000",
    "number": "1215189725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 PARK CENTER CT",
            "address_2": "SUITE 14",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211174201",
            "telephone_number": "410-356-2935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 PARK CENTER CT",
            "address_2": "SUITE 14",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211174201",
            "telephone_number": "410-356-2935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAROLD J. HETTLEMAN, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-15",
        "last_updated": "2008-12-03",
        "status": "A",
        "authorized_official_last_name": "VAN BLARGAN",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "410-832-5511"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MD",
            "license": "D0005004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Owings Mills, MD by specialty
• Obstetrics & Gynecology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.