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NPI Code Detail

MEDICARE: DR. ROBERT R. HART MD

MEDICARE: DR. ROBERT R. HART MD
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
12084P0800XPsychiatry PhysicianC038923CA

General Provider Information

NPI Number : 1477660074
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT R. HART MD
Provider Business Mailing Address
First Line : 1212 N CALIFORNIA ST
Second Line :
City : STOCKTON
State : CA
Zip : 95202-1552
Country : US
Telephone Number : 209-468-8720
Fax Number : 209-468-9587
Provider Business Practice Location Address
First Line : 1212 N CALIFORNIA ST
Second Line :
City : STOCKTON
State : CA
Zip : 95202-1552
Country : US
Telephone Number : 209-468-8887
Fax Number : 209-468-2399
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2006
Last Update Date : 12/03/2013

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