Individual
DR. JEFFREY L. HART
Active
Individual
DR. JEFFREY L. HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
041172
CT
207W00000X
Ophthalmology Physician
Primary
14801
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001411727
—
CT
05
—
004235900
—
CT
05
—
1083672539
—
NV
01
—
P00034183
RR MEDICARE
CT
Enumeration date
05/03/2006
Last updated
08/12/2015
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