MEDICARE: GERDA HARTL M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0804X	Child & Adolescent Psychiatry Physician	25MA02530500	NJ
2	2084P0800X	Psychiatry Physician	25MA02530500	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1235391848
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GERDA HARTL M.D.

Provider Business Mailing Address
First Line	:	4 HORIZON RD.
Second Line	:	APT. G-05
City	:	FORT LEE
State	:	NJ
Zip	:	07024-6716
Country	:	US
Telephone Number	:	201-224-0776
Fax Number	:	201-224-0776

Provider Business Practice Location Address
First Line	:	4 HORIZON RD.
Second Line	:	APT. G-05
City	:	FORT LEE
State	:	NJ
Zip	:	07024-6716
Country	:	US
Telephone Number	:	201-224-0776
Fax Number	:	201-224-0776

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/26/2008
Last Update Date	:	07/21/2009

Similar Medicare Providers

1891954665 — MRS. RACHEL MAE MILLER MA, BCBA, LLP
Practice Location Address:

1300 AIRPORT NORTH OFFICE PARK
FORT WAYNE, IN
46825-6716

Practice Phone: 260-471-9263
Practice Fax: 260-471-9264

1861899155 — SARAH MARTIN MOT, OTR
Practice Location Address:

1300 AIRPORT NORTH OFFICE PARK
FORT WAYNE, IN
46825-6716

Practice Phone: 260-471-9263
Practice Fax: 260-471-9264

1003448671 — MISS CHELSEA L HARRISON
Practice Location Address:

6716 RAMBLEWOOD CT APT L
FORT WAYNE, IN
46835-1760

Practice Phone: 269-303-4473
Practice Fax:

1528848660 — LARISSA ROSE EADEN RD
Practice Location Address:

2802 BRIGHTWATER CT
FORT COLLINS, CO
80524-6716

Practice Phone: 941-330-4884
Practice Fax:

1053200519 — T&D FAMILY HEALTH LLC
Practice Location Address:

6716 WINDFALL DR
FORT WORTH, TX
76135-2110

Practice Phone: 972-827-8505
Practice Fax:

1548123607 — PHARMACY JUNCTION
Practice Location Address:

266 COLUMBIA AVE
FORT LEE, NJ
07024-4125

Practice Phone: 201-886-9191
Practice Fax: 201-886-2101

Directions to “ GERDA HARTL M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.