Individual
DR. GERARD THOMAS HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4623 SPRUCE STREET, PHILADELPHIA, PA 19139-4542
(215) 474-6100
(610) 384-8385
Mailing address
4623 SPRUCE STREET, PHILADELPHIA, PA 19139-4542
(215) 474-6100
(610) 485-4221
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD032065E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001224993
—
PA
Enumeration date
08/28/2006
Last updated
12/20/2011
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