Healthcare Provider Details

I. General information

NPI: 1275685885
Provider Name (Legal Business Name): HART ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/17/2007
Last Update Date: 12/15/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3407 GARRETT RD
DREXEL HILL PA
19026-2320
US

IV. Provider business mailing address

3407 GARRETT RD
DREXEL HILL PA
19026-2320
US

V. Phone/Fax

Practice location:
  • Phone: 610-284-6400
  • Fax: 610-284-4370
Mailing address:
  • Phone: 610-284-6400
  • Fax: 610-284-4370

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberOS002146L
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code207QG0300X
TaxonomyGeriatric Medicine (Family Medicine) Physician
License NumberOS002146L
License Number StatePA

VIII. Authorized Official

Name: DR. W. JAMES HART
Title or Position: PRESIDENT
Credential: D.O.
Phone: 610-284-6400