Individual
SAMUEL HART JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
1129 POWELL RD, BROOKHAVEN, PA 19015-2001
(610) 680-4696
Mailing address
212 QUARRY POINT RD, MALVERN, PA 19355-0259
(610) 609-9912
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN270212
PA
Other
Enumeration date
07/28/2025
Last updated
07/28/2025
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