VICTOR H HARTANTO

UROLOGY GROUP PA

Dr VICTOR H HARTANTO is a male medical professional, specializing in Urology. He graduated in 2003 from New York University School Of Medicine.

Contact

UROLOGY GROUP PA

4 GODWIN AVE
MIDLAND PARK
NJ
074321980

Tel: 2014447070

VICTOR H HARTANTO Information

Npi 1376679639
Pac Id 8820281173
Professional Enrollment Id I20101020000099
Last Name HARTANTO
First Name VICTOR
Middle Name H
Suffix
Gender M
Credential
Medical School Name NEW YORK UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 2003
Primary Specialty UROLOGY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name UROLOGY GROUP PA
Group Practice Pac Id 7214908102
Number Of Group Practice Members 7
Line 1 Street Address 4 GODWIN AVE
Line 2 Street Address
Marker Of Address Line 2 Suppression
City MIDLAND PARK
State NJ
Zip Code 074321980
Phone Number 2014447070
Hospital Affiliation Ccn 1 310012
Hospital Affiliation Lbn 1 VALLEY HOSPITAL
Hospital Affiliation Ccn 2 310130
Hospital Affiliation Lbn 2 HACKENSACK MERIDIAN HEALTH PASCACK VALLEY MEDICAL
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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