Individual
RITA THERESA HARTY
Active
Individual
RITA THERESA HARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS PA-C
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
Update your record
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