Individual
DR. JOHN ROBERT HART JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
593 EDDY ST, POB 111, PROVIDENCE, RI 02903-4923
(401) 444-2918
Mailing address
593 EDDY ST, POB 111, PROVIDENCE, RI 02903-4923
(401) 444-2918
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
239951
MA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MD12676
RI
Other
Enumeration date
05/30/2007
Last updated
05/21/2009
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