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1558336388

NPI Code Detail

MEDICARE: DEBORAH HARTLEY MD

MEDICARE: DEBORAH HARTLEY MD

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	207P00000X	Emergency Medicine Physician	57416	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0466461-002	OTHER	MA	CIGNA PAL
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	27750	OTHER	MA	CHILDREN'SMEDICALSECURITY
4	436718	OTHER	MA	HARVARD PILGRIM
5	754110	OTHER	MA	TUFTS HEALTH PLAN
6	96108101	OTHER	MA	NETWORK HEALTH
7	0017722	OTHER	MA	NHP
8	26379-3	OTHER	MA	BCBSRI
9	B10360401	OTHER	MA	CIGNA
10	000000024027	OTHER	MA	BMC HEALTHNET
11	004705	OTHER	MA	SENIOR WHOLE HEALTH
12	2978827	OTHER	MA	AETNA
13	409720	OTHER	MA	BCBSBLUECHIP
14	F21010	OTHER	MA	BCBSMA

General Provider Information

NPI Number	:	1558336388
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBORAH HARTLEY MD

Provider Business Mailing Address
First Line	:	874 PURCHASE ST
Second Line	:
City	:	NEW BEDFORD
State	:	MA
Zip	:	02740-6232
Country	:	US
Telephone Number	:	508-992-6553
Fax Number	:	508-990-7558

Provider Business Practice Location Address
First Line	:	874 PURCHASE ST
Second Line	:
City	:	NEW BEDFORD
State	:	MA
Zip	:	02740-6232
Country	:	US
Telephone Number	:	508-992-6553
Fax Number	:	508-990-7558

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

Provider Enumeration Date	:	02/23/2006
Last Update Date	:	01/25/2008

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Directions to “ DEBORAH HARTLEY MD” Practice Location

Language	Start Address	Practice Location

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