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NPI Code Detail

MEDICARE: DR. JOSEPH HART M.D.

MEDICARE: DR. JOSEPH 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
12084A0401XAddiction Medicine (Psychiatry & Neurology) Physician0101272464VA
22084P0800XPsychiatry Physician340623LA
32084P0800XPsychiatry Physician0101272464VA
42084P0800XPsychiatry PhysicianMD480548PA

General Provider Information

NPI Number : 1467984211
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOSEPH HART M.D.
Provider Business Mailing Address
First Line : 5000 PARKSIDE AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19131-4714
Country : US
Telephone Number : 215-879-6116
Fax Number :
Provider Business Practice Location Address
First Line : 5000 PARKSIDE AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19131-4714
Country : US
Telephone Number : 215-879-6116
Fax Number : 804-722-5798
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/31/2017
Last Update Date : 08/02/2024

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