Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0505X | Family Doctor - Adult Medicine | MD472638 | PA |
N | 2081P2900X | Pain Medicine | 259765 | NY |
NPI | 1003076928 |
---|---|
Provider Name | Dr. Cheryle R Hart |
First Address | Easton, PA 18045-5589 |
Second Address | Easton, PA 18045-5589 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2008 |
Last Update Date | 22/03/2021 |