Individual
DR. TIMOTHY JOSEPH HARDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3720 HOLLAND RD, SUITE 101, VIRGINIA BEACH, VA 23452-2859
(757) 463-1234
(757) 463-0453
Mailing address
3720 HOLLAND RD, SUITE 101, VIRGINIA BEACH, VA 23452-2859
(757) 463-1234
(757) 463-0453
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0101043703
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
097743
ANTHEM
VA
01
—
34001
OPTIMA
VA
05
—
6242103
—
VA
Enumeration date
08/03/2006
Last updated
03/17/2008
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