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Individual

ERIC J HARDT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
850 HARRISON AVE, YACC BN-7, BOSTON, MA 02118-4001
(617) 638-6100
(617) 638-6179
Mailing address
720 HARRISON AVE, DOB 503, BOSTON, MA 02118

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
53366
MA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
53366
MA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
53366
MA
207RX0202X
Medical Oncology Physician
53366
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110065034A
MA
Enumeration date
12/21/2005
Last updated
06/05/2014
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