MEDICARE: DR. HOWARD W HARDY III 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	208C00000X	Colon & Rectal Surgery Physician	MA048040	NJ

General Provider Information

NPI Number	:	1821041054
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HOWARD W HARDY III M.D.

Provider Business Mailing Address
First Line	:	3131 PRINCETON PIKE
Second Line	:	BLDG 3C-201
City	:	LAWRENCEVILLE
State	:	NJ
Zip	:	08648-2201
Country	:	US
Telephone Number	:	609-896-1700
Fax Number	:	609-896-1087

Provider Business Practice Location Address
First Line	:	3131 PRINCETON PIKE
Second Line	:	BLDG 3C-201
City	:	LAWRENCEVILLE
State	:	NJ
Zip	:	08648-2201
Country	:	US
Telephone Number	:	609-896-1700
Fax Number	:	609-896-1087

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

Provider Enumeration Date	:	05/18/2006
Last Update Date	:	07/08/2007

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