MEDICARE: DR. PATRICK TOLE 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	207W00000X	Ophthalmology Physician	C1-0000407	DE

General Provider Information

NPI Number	:	1710244132
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PATRICK TOLE HART M.D.

Provider Business Mailing Address
First Line	:	257 W MAIN ST
Second Line	:
City	:	NEWARK
State	:	DE
Zip	:	19711-3237
Country	:	US
Telephone Number	:	302-368-9280
Fax Number	:

Provider Business Practice Location Address
First Line	:	257 W MAIN ST
Second Line	:
City	:	NEWARK
State	:	DE
Zip	:	19711-3237
Country	:	US
Telephone Number	:	302-368-9280
Fax Number	:

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

Provider Enumeration Date	:	04/23/2012
Last Update Date	:	04/23/2012

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