MEDICARE: GEORGE LUKE HARTSTEIN 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	2084P0800X	Psychiatry Physician	295309	MA
2	2084P0800X	Psychiatry Physician	MD484864	PA

General Provider Information

NPI Number	:	1679197487
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GEORGE LUKE HARTSTEIN MD

Provider Business Mailing Address
First Line	:	1229 CHESTNUT ST # 176
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19107-4140
Country	:	US
Telephone Number	:	215-602-7941
Fax Number	:

Provider Business Practice Location Address
First Line	:	1229 CHESTNUT ST # 176
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19107-4140
Country	:	US
Telephone Number	:	215-602-7941
Fax Number	:

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

Provider Enumeration Date	:	06/08/2020
Last Update Date	:	11/05/2025

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