MEDICARE: DR. ROBERT R 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	208800000X	Urology Physician	0101042534	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1427030832
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT R HART M.D.

Provider Business Mailing Address
First Line	:	3700 JOSEPH SIEWICK DR STE 101
Second Line	:
City	:	FAIRFAX
State	:	VA
Zip	:	22033-1737
Country	:	US
Telephone Number	:	703-698-1856
Fax Number	:	703-207-0843

Provider Business Practice Location Address
First Line	:	3700 JOSEPH SIEWICK DR STE 101
Second Line	:
City	:	FAIRFAX
State	:	VA
Zip	:	22033-1737
Country	:	US
Telephone Number	:	703-698-1856
Fax Number	:	703-207-0843

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

Provider Enumeration Date	:	11/19/2005
Last Update Date	:	06/01/2022

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