Individual
LAURA A HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3401 N BROAD ST, 7TH FLOOR OUT PATIENT BUILDING, PHILADELPHIA, PA 19140-5103
(215) 707-3008
(215) 707-1387
Mailing address
2450 W HUNTING PARK AVE, PHILADELPHIA, PA 19129-1302
(215) 707-3008
(215) 707-1387
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
BP10042283
TX
207V00000X
Obstetrics & Gynecology Physician
Primary
MD454651
PA
207V00000X
Obstetrics & Gynecology Physician
MT193820
PA
207V00000X
Obstetrics & Gynecology Physician
P6974
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BP10042283
TEXAS MEDICAL BOARD
TX
01
—
P6974
TEXAS MEDICAL BOARD
TX
Enumeration date
07/02/2008
Last updated
03/21/2017
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