Individual
ALFRED E HARDAWAY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
110 TERRACE DR, BLAKELY, PA 18447-2504
(570) 307-4225
(570) 307-4226
Mailing address
110 TERRACE DR, BLAKELY, PA 18447-2504
(570) 307-4225
(570) 307-4226
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD038075E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1079954
—
PA
Enumeration date
12/05/2005
Last updated
07/08/2007
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