MEDICARE: RICHARD HART 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	207R00000X	Internal Medicine Physician	MD054926L	PA

General Provider Information

NPI Number	:	1053391268
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICHARD HART M.D.

Provider Business Mailing Address
First Line	:	1000 PARK PLACE
Second Line	:	STE 209
City	:	WASHINGTON
State	:	PA
Zip	:	15301-5946
Country	:	US
Telephone Number	:	724-229-7570
Fax Number	:	724-229-7571

Provider Business Practice Location Address
First Line	:	1000 PARK PLACE
Second Line	:	STE 209
City	:	WASHINGTON
State	:	PA
Zip	:	15301-5946
Country	:	US
Telephone Number	:	724-229-7570
Fax Number	:	724-229-7571

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

Provider Enumeration Date	:	01/23/2006
Last Update Date	:	06/08/2016

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