Individual
HAROLD HUNTLEY HARDISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
ST. CHRISTOPHER'S PEDIATRIC NEUROLOGY, 3601 A STREET, PHILADELPHIA, PA 19134-1095
(215) 427-5470
(215) 427-4393
Mailing address
ST. CHRISTOPHER'S PEDIATRIC NEUROLOGY, 3601 A STREET, PHILADELPHIA, PA 19134-1095
(215) 427-5470
(215) 427-4393
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
25MA04877900
NJ
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
MD027761E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010073830020
—
PA
Enumeration date
06/01/2006
Last updated
02/20/2013
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