Individual
DR. ANDREW J HARDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11800 SUNRISE VALLEY DR, SUITE 700, RESTON, VA 20191-5300
(703) 834-1473
(703) 318-7463
Mailing address
PO BOX 791128, BALTIMORE, MD 21279-1128
(703) 391-2030
(703) 273-3943
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101048758
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05624525
—
VA
01
—
080182915
RR MEDICARE
—
Enumeration date
09/06/2005
Last updated
11/27/2023
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