Individual
RITA THERESA HARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS PA-C
Contact information
Practice address
4000 ROUTE 130, DELRAN, NJ 08075-2414
(856) 705-0685
(727) 210-4600
Mailing address
5000 COX RD, GLEN ALLEN, VA 23060-9263
(804) 822-4355
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
25MP00204300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MP00204300
NJ LICENSE NUMBER
NJ
01
—
PA 9109246
PA LICENSE
FL
Enumeration date
07/30/2011
Last updated
02/07/2022
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